Organization Active NPI

Life's Worc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Queens Village, NY
National Provider Identifier
1033257126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
7075473 Issued in NY
Legal business name
LIFE'S WORC
Practice address
10812 227TH St
Queens Village, NY 11429-2837
Phone
(718) 776-9632
Fax
(718) 740-6347
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Peg Barry
Title
Chief Financial Officer
Phone
(516) 741-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 7075473 NY Primary

Addresses

Primary practice location

10812 227TH St
Queens Village, NY 11429-2837

Mailing address

1501 Franklin Ave
Garden City, NY 11553-8165
Phone (516) 741-9000

Other identifiers 1

IdentifierTypeStateIssuer
02252793MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Life's Worc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033257126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 FRANKLIN AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115538165",
            "telephone_number": "516-741-9000",
            "fax_number": "516-302-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10812 227TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292837",
            "telephone_number": "718-776-9632",
            "fax_number": "718-740-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S WORC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "516-741-9000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "7075473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02252793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.