NPIMap

Organization Active NPI

Lifespire, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • New York, NY
National Provider Identifier
1467664243
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
6235440 Issued in NY
Legal business name
LIFESPIRE, INC.
Practice address
484 Second Avenue 9a
New York, NY 10016
Phone
(212) 685-4477
NPI assigned
May 4, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Emilio Bonilla
Title
Cfo
Phone
(212) 741-0100

National Provider Directory

National Provider Directory
Tax ID family
Association for CRMD Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

484 2nd Ave
Ste 9A
New York, NY 10016
Phone (212) 685-4477

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 6235440 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

484 Second Avenue 9a
New York, NY 10016

Mailing address

462 Fashion Ave FL 5
New York, NY 10018-7852
Phone (212) 741-0100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00357057MedicaidNY

Other names 1

NPPES NPI Registry
  • Association for CRMD, Inc. Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2026.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1467664243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 FASHION AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187852",
            "telephone_number": "212-741-0100",
            "fax_number": "212-320-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 SECOND AVENUE 9A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-685-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPIRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-741-0100"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "6235440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Association for CRMD, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.