OrganizationActive
Lifetime Health Services LLC
NPI 1962389064 · Community/Behavioral Health Agency · Prince George, VA
Provider details
- NPI number
- 1962389064
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Derius Williams, Owner(804) 731-6145
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7509 Rebel Lndg
Prince George, VA 23875-2970
Phone: (804) 731-6145
Street-level locationGet directions
Mailing address
7509 Rebel Lndg
Prince George, VA 23875-2970
Registry dates
- Enumerated
- 2025-08-19
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.