NPIMap

Organization Active NPI

Lifeties, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Trenton, NJ
National Provider Identifier
1255468674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
LIFETIES, INC.
Practice address
2205 Pennington Rd
Trenton, NJ 08638-1212
Phone
(609) 771-1600
Fax
(609) 530-1648
NPI assigned
Feb 27, 2007
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
Mary M Inzana
Title
Ceofounder
Phone
(609) 771-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

2205 Pennington Rd
Trenton, NJ 08638-1212

Mailing address

2205 Pennington Rd
Trenton, NJ 08638-1212
Phone (609) 771-1600

National Provider Directory

National Provider Directory
Tax ID family
Lifeties Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255468674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 PENNINGTON RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086381212",
            "telephone_number": "609-771-1600",
            "fax_number": "609-530-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 PENNINGTON RD",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086381212",
            "telephone_number": "609-771-1600",
            "fax_number": "609-530-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEOFOUNDER",
        "authorized_official_telephone_number": "609-771-1600"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

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.