NPIMap

Organization Active NPI

Life Foundation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Washington, DC
National Provider Identifier
1750567459
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
LIFE FOUNDATION
Practice address
1496 Bangor St SE
Washington, DC 20020-4963
Phone
(202) 487-5667
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Stephen Oliver
Title
President
Phone
(202) 487-5667

Specialties & licenses 1

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

Addresses

Primary practice location

1496 Bangor St SE
Washington, DC 20020-4963

Mailing address

2403 Irving St NE
Washington, DC 20018-2536
Phone (202) 487-5667

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1750567459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 IRVING ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182536",
            "telephone_number": "202-487-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 BANGOR ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204963",
            "telephone_number": "202-487-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-487-5667"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.