Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

FOUNDATIONS FOR LIFE SERVICES LLC
NPI 1336052901
Substance Abuse Rehabilitation Facility in Petersburg, VA

Active since September 24, 2026
1102 FARMER ST, PETERSBURG, VA 23803(804) 901-3978 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Foundations For Life Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUNDATIONS FOR LIFE SERVICES LLC (NPI 1336052901), doing business as Foundations For Life Services, is a healthcare organization registered as a substance abuse rehabilitation facility in Petersburg, Virginia and active in the NPI registry since September 2026. The organization lists Gayle Candise Nicholas, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1336052901
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFOUNDATIONS FOR LIFE SERVICES LLC
Location Address1102 FARMER STPetersburg, VA 23803-3935
Mailing Address12437 Chesdin Landing DrChesterfield, VA 23838-3229 · (804) 901-3978
Organization SubpartNo
Authorized OfficialGayle Candise NicholasChief Executive Officer · (804) 901-3978
Enumeration DateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1336052901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1102 FARMER ST, Petersburg, VA 23803

Other Names 1

Doing Business AsFoundations For Life Services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foundations For Life Services LLC's NPI number?

The NPI number for Foundations For Life Services LLC is 1336052901. It was assigned to this organization in the NPPES registry on September 24, 2026. The provider is doing business as Foundations For Life Services.

Where is Foundations For Life Services LLC located?

Foundations For Life Services LLC is located at 1102 Farmer St, Petersburg, VA 23803. The listed phone number is (804) 901-3978.

What is Foundations For Life Services LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Foundations For Life Services LLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.