Active NPI
Life of Purpose - Pennsylvania
- Substance Use Disorder Rehabilitation Clinic/Center
- Bala Cynwyd, PA
National Provider Identifier
1447602552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 467132
- Legal business name
- LIFE OF PURPOSE - PENNSYLVANIA
- Practice address
- 225 E City Ave Ste 15
Bala Cynwyd, PA 19004-1724 - Phone
- (877) 636-9322
- Fax
- (866) 417-4309
- NPI assigned
- Jul 13, 2016
- Organization subpart
- Yes
- Parent organization
- LIFE OF PURPOSE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Branden Coluccio
- Title
- Cfo
- Phone
- (877) 636-9322
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 467132 | PA | Primary |
Addresses
Primary practice location
225 E City Ave Ste 15
Bala Cynwyd, PA 19004-1724
Mailing address
PO Box 826742
Philadelphia, PA 19182-6742
Phone (877) 636-9322
National Provider Directory
National Provider Directory- Tax ID family
- Life of Purpose - Pennsylvania
- Part of
- Life of Purpose - Pennsylvania
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Bala Cynwyd, PA
- NPI 1801248919
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Yardley, PA
- NPI 1174908479
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Washington, PA
- NPI 1992251326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548374400000",
"number": "1447602552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 826742",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191826742",
"telephone_number": "877-636-9322",
"fax_number": "866-417-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CITY AVE STE 15",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041724",
"telephone_number": "877-636-9322",
"fax_number": "866-417-4309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE OF PURPOSE - PENNSYLVANIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFE OF PURPOSE, LLC",
"enumeration_date": "2016-07-13",
"last_updated": "2019-01-25",
"status": "A",
"authorized_official_last_name": "COLUCCIO",
"authorized_official_first_name": "BRANDEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "877-636-9322"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "PA",
"license": "467132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
- Liberty Health Care Corporation
- Stephen B Lichtenstein, M.D.
- Amara Ashjian Lieberman, M.D.
- David Edward Liebert, DPT
- Phyllis Farkas Liebert, MS,RD,LDN
- Lifeline Home Health, Inc. (Golden Home Healthcare Philadelphia)
- Autumn Limegrover
- Sean Kathleen Lincoln, PH.D.
- Laura Robin Lipkin, PHD
- Debbie S Lipshutz, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.