Success4Life

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

SUCCESS4LIFE

Practice address

9411 Hull Street Rd
North Chesterfield, VA 23236-1422

Phone

(804) 691-7810

NPI assigned

Oct 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Towanda Brown

Title

Owner

Phone

(804) 691-7810

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1831971928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 CLARKSON RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243104",
            "telephone_number": "804-691-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9411 HULL STREET RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361422",
            "telephone_number": "804-691-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS4LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TOWANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-691-7810"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.