LIFE WAY SERVICES (NPI# 1982248704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982248704 |
| Entity Type | Organization |
| Organization Name | LIFE WAY SERVICES |
| Practice Address |
7228 Statesman Blvd Ruther Glen VA 22546-5246 |
| Practice Telephone | 8042967875 |
| Mailing Telephone | 8042967875 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | IVANA A GRAY (OWNER/PARTNER) |
| Authorized Official Telephone | 8042967875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8042967875 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Life Way Services LLC | 7228 Statesman Boulevard, Ruther Glen, Virginia 22546 |
| Street Address |
7228 STATESMAN BLVD |
| City | RUTHER GLEN |
| State | VA |
| Zip Code | 22546-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888717 | Mohamed Ibrahim | Dentist | 18010 Jefferson Davis Highway, Ruther Glen, VA 22546 | 2018-01-10 |
| 1891246237 | Urgent Care Travel, Inc | Clinic/Center | 23458 Cool Water Drive, Ruther Glenn, VA 22546 | 2016-10-20 |
| 1346423225 | Caroline Outpatient Program | Community/Behavioral Health | 7120 Conway Place, Ruther Glen, VA 22546 | 2007-12-13 |
| 1043275852 | Victoria E Grady | Internal Medicine | 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546 | 2006-04-18 |
| 1578931911 | Right Price Construction | Durable Medical Equipment & Medical Supplies | 306 Burr Dr, Ruther Glen, VA 22546 | 2015-09-02 |
| 1588973614 | Jennifer Lynn Brown | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-10-07 |
| 1710293477 | Nancy Christine Love I | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-08-19 |
| 1184182719 | Antonio O'neil Clinkscales | Counselor | 103 Surrey Dr, Ruther Glen, VA 22546-1035 | 2019-03-02 |
| 1942548912 | Nicole Rich | Technician | 1004 Lake Heritage Dr, Ruther Glen, VA 22546-1054 | 2013-01-24 |
| 1396063855 | David Joseph Perillo | Podiatrist | 347 Land Or Dr, Ruther Glen, VA 22546-1235 | 2010-05-08 |
| Find all providers in zip 22546 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | RUTHER GLEN |
| Zip Code | 22546 |
Please comment or provide details below to improve the information on LIFE WAY SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.