Organization Active NPI

It'S My Life, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Allentown, PA
National Provider Identifier
1548633076
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
IT'S MY LIFE, INC.
Practice address
5925 Tilghman St Ste 90
Allentown, PA 18104-9140
Phone
(484) 350-1029
NPI assigned
Nov 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Mr. Kenneth L Gibat, BS
Title
Ceo
Phone
(484) 350-1029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

5925 Tilghman St Ste 90
Allentown, PA 18104-9140

Mailing address

5925 Tilghman St, Suite 90
Allentown, PA 18104-3063
Phone (484) 350-1029

National Provider Directory

National Provider Directory

Locations

5925 Tilghman St
Ste 90
Allentown, PA 18104
Phone (484) 294-4199

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1548633076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 TILGHMAN ST, SUITE 90",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043063",
            "telephone_number": "484-350-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 TILGHMAN ST STE 90",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049140",
            "telephone_number": "484-350-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT'S MY LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "GIBAT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-350-1029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.