Organization Active NPI

Tree of Life Services Inc

  • Physical Disabilities Residential Treatment Facility
  • Richmond, VA
National Provider Identifier
1912003591
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
CLO06286 Issued in VA
Legal business name
TREE OF LIFE SERVICES INC
Practice address
3721 Westerre Pkwy Ste B
Richmond, VA 23233-1332
Phone
(804) 270-5484
Fax
(804) 270-1220
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Dr. Nathan D Zasler, M.D.
Title
Ceo
Phone
(804) 270-5484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X CLO06286 VA Primary

Addresses

Primary practice location

3721 Westerre Pkwy Ste B
Richmond, VA 23233-1332

Mailing address

3721 Westerre Pkwy Ste B
Richmond, VA 23233-1332
Phone (804) 270-5484

Other identifiers 1

IdentifierTypeStateIssuer
031796900MedicaidDC

National Provider Directory

National Provider Directory

Locations

3721 Westerre Pkwy
Ste B
Richmond, VA 23233
Phone (804) 270-5484

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1912003591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 WESTERRE PKWY STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331332",
            "telephone_number": "804-270-5484",
            "fax_number": "804-270-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 WESTERRE PKWY STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331332",
            "telephone_number": "804-270-5484",
            "fax_number": "804-270-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "ZASLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-270-5484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "VA",
            "license": "CLO06286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031796900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.