Organization Active NPI

Life'S Worc

  • Community/Behavioral Health Agency
  • Mineola, NY
National Provider Identifier
1811262397
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-11-8641 Issued in NY
Legal business name
LIFE'S WORC
Practice address
1501 Franklin Ave
Mineola, NY 11501-4803
Phone
(516) 741-9000
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Peter Smergut
Title
Executive Director
Phone
(516) 741-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-11-8641 NY Primary

Addresses

Primary practice location

1501 Franklin Ave
Mineola, NY 11501-4803

Mailing address

1501 Franklin Ave
Mineola, NY 11501-4803
Phone (516) 741-9000

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

Locations

1501 Franklin Ave
Mineola, NY 11501
Phone (516) 741-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1811262397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 FRANKLIN AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014803",
            "telephone_number": "516-741-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 FRANKLIN AVE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014803",
            "telephone_number": "516-741-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S WORC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "SMERGUT",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-741-9000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "1-11-8641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.