NPIMap

Organization Active NPI

Life Opportunities Unlimited

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Township of Washington, NJ
National Provider Identifier
1295116630
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
GH717 Issued in NJ
Legal business name
LIFE OPPORTUNITIES UNLIMITED
Practice address
683 Calvin St
Township of Washington, NJ 07676-4026
Phone
(201) 689-1128
NPI assigned
Jun 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Gail Tamirian Mandeli
Title
Executive Director
Phone
(201) 689-1128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH717 NJ Primary

Addresses

Primary practice location

683 Calvin St
Township of Washington, NJ 07676-4026

Mailing address

75 N Maple Ave
Suite 104
Ridgewood, NJ 07450-3247
Phone (201) 689-1128

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": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1295116630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE",
            "address_2": "SUITE 104",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503247",
            "telephone_number": "201-689-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 CALVIN ST",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764026",
            "telephone_number": "201-689-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OPPORTUNITIES UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "MANDELI",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "TAMIRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-689-1128"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Township of Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.