Organization Active NPI

Life's Worc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield Gardens, NY
National Provider Identifier
1659427623
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
7075446 Issued in NY
Legal business name
LIFE'S WORC
Practice address
13136 Springfield Blvd
Springfield Gardens, NY 11413-1550
Phone
(718) 525-1105
Fax
(718) 276-3173
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Peg Barry
Title
Accountant
Phone
(516) 741-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 7075446 NY Primary

Addresses

Primary practice location

13136 Springfield Blvd
Springfield Gardens, NY 11413-1550

Mailing address

1501 Franklin Ave
Garden City, NY 11530-8165
Phone (516) 741-9000

Other identifiers 1

IdentifierTypeStateIssuer
02252793MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Life's Worc24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659427623",
    "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": "115308165",
            "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": "13136 SPRINGFIELD BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114131550",
            "telephone_number": "718-525-1105",
            "fax_number": "718-276-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S WORC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "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": "7075446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02252793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, 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.

Verify at the official NPI Registry.