Organization Active NPI

Life's Worc

  • Developmentally Disabled Services Day Training Agency
  • Queens Village, NY
National Provider Identifier
1053452433
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
7075466 Issued in NY
Legal business name
LIFE'S WORC
Practice address
21939 91St Rd
Queens Village, NY 11428-1328
Phone
(718) 736-0397
Fax
(718) 736-0389
NPI assigned
Feb 9, 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
Developmentally Disabled Services Day Training Agency 251C00000X 7075466 NY Primary

Addresses

Primary practice location

21939 91St Rd
Queens Village, NY 11428-1328

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
02700136MedicaidNY

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

Locations

21939 91st Rd
Queens Village, NY 11428
Phone (718) 736-0397

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053452433",
    "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": "21939 91ST RD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281328",
            "telephone_number": "718-736-0397",
            "fax_number": "718-736-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S WORC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "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": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "7075466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02700136",
            "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.