NPIMap

Organization Active NPI

Life Opportunities Unlimited: a Non Profit Corporation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Allendale, NJ
National Provider Identifier
1376323725
Registry record updated Nov 2, 2023
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: A NON PROFIT CORPORATION
Practice address
43 Berkshire Place
Allendale, NJ 07401
Phone
(201) 689-1128
Fax
(201) 689-1136
NPI assigned
Oct 3, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Mrs. Gail Tamirian-Mandeli
Title
Founder & 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

43 Berkshire Place
Allendale, NJ 07401

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1427398858MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Life Opportunities Unlimited11 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": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1376323725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NORTH MAPLE AVE 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": "43 BERKSHIRE PLACE",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "07401",
            "telephone_number": "201-689-1128",
            "fax_number": "201-689-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OPPORTUNITIES UNLIMITED: A NON PROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "TAMIRIAN-MANDELI",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "FOUNDER & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-689-1128",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "1427398858",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.