NPIMap

Organization Active NPI

Lifeties,Inc./Rainbow House

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Trenton, NJ
National Provider Identifier
1740417542
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
LIFETIES,INC./RAINBOW HOUSE
Practice address
1301 W State St
Trenton, NJ 08618-5227
Phone
(609) 394-6747
NPI assigned
Jun 18, 2009
Organization subpart
Yes
Parent organization
LIFETIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Mary M Inzana
Title
C.E.O./Founder
Phone
(609) 771-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1301 W State St
Trenton, NJ 08618-5227

Mailing address

2205 Pennington Rd
Ewing, NJ 08638-1212
Phone (609) 771-1600

Other identifiers 1

IdentifierTypeStateIssuer
0184691MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Lifeties Inc5 organizations share this tax ID, including this one
Part of
Lifeties Inc

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1740417542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381212",
            "telephone_number": "609-771-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W STATE ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086185227",
            "telephone_number": "609-394-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIES,INC./RAINBOW HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFETIES, INC.",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "C.E.O./FOUNDER",
        "authorized_official_telephone_number": "609-771-1600"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184691",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.