NPIMap

Organization Active NPI

Life Opportunities Unlimited

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Waldwick, NJ
National Provider Identifier
1104384460
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
LIFE OPPORTUNITIES UNLIMITED
Practice address
28 Cleveland Ave
Waldwick, NJ 07463
Phone
(201) 689-1128
Fax
(201) 689-1136
NPI assigned
Mar 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Gail Ann Tamirian-Mandeli, M.ED
Title
Executive Director
Phone
(201) 689-1128

Specialties & licenses 1

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

Addresses

Primary practice location

28 Cleveland Ave
Waldwick, NJ 07463

Mailing address

75 North Maple Ave
Suite 104
Ridgewood, NJ 07450
Phone (201) 689-1128

Other identifiers 1

IdentifierTypeStateIssuer
0531545MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Life Opportunities Unlimited a Non-Profit Corporation11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1104384460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NORTH MAPLE AVE",
            "address_2": "SUITE 104",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-689-1128",
            "fax_number": "201-689-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLEVELAND AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "07463",
            "telephone_number": "201-689-1128",
            "fax_number": "201-689-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OPPORTUNITIES UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "TAMIRIAN-MANDELI",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-689-1128",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531545",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.