Active NPI
Life'S Worc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Jamaica, NY
National Provider Identifier
1497893580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 7075470
- Legal business name
- LIFE'S WORC
- Practice address
- 17506 Linden Blvd
Jamaica, NY 11434-1421 - Phone
- (718) 526-7463
- Fax
- (718) 526-0516
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nydia Carrion
- Title
- Chief Financial Officer
- Phone
- (516) 741-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 7075470 | NY | Primary |
Addresses
Primary practice location
17506 Linden Blvd
Jamaica, NY 11434-1421
Mailing address
1501 Franklin Ave
Garden City, NY 11553-8165
Phone (516) 741-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02252793 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Life'S Worc
Other organizations with this tax ID 23
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Queens Village, NY
- NPI 1033257126
-
- Developmentally Disabled Services Day Training Agency
- Queens Village, NY
- NPI 1053452433
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Laurelton, NY
- NPI 1073651956
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Springfield Gardens, NY
- NPI 1073668539
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Springfield Gardens, NY
- NPI 1083760672
-
- Developmentally Disabled Services Day Training Agency
- Glendale, NY
- NPI 1134260052
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Sprinfield Gardens, NY
- NPI 1134275712
-
- Developmentally Disabled Services Day Training Agency
- Queens Village, NY
- NPI 1225179146
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Little Neck, NY
- NPI 1295880714
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bayside, NY
- NPI 1447396312
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bayside, NY
- NPI 1548306400
-
- Developmentally Disabled Services Day Training Agency
- Old Bethpage, NY
- NPI 1659412013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497893580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 FRANKLIN AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115538165",
"telephone_number": "516-741-9000",
"fax_number": "516-302-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17506 LINDEN BLVD",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114341421",
"telephone_number": "718-526-7463",
"fax_number": "718-526-0516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE'S WORC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARRION",
"authorized_official_first_name": "NYDIA",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "516-741-9000",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NY",
"license": "7075470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02252793",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
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.