Organization Active NPI

Life'S Worc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bayside, NY
National Provider Identifier
1831235639
Registry record updated Jul 21, 2022
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'S WORC
Practice address
1815 215TH St
Apt 2M
Bayside, NY 11360-2154
Phone
(718) 279-8507
Fax
(718) 423-1616
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Peg Barry
Title
Chief Financial Officer
Phone
(516) 741-9000

Specialties & licenses 1

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

Addresses

Primary practice location

1815 215TH St
Apt 2M
Bayside, NY 11360-2154

Mailing address

1501 Franklin Ave
Garden City, NY 11553-8165
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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831235639",
    "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": "115538165",
            "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": "1815 215TH ST",
            "address_2": "APT 2M",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602154",
            "telephone_number": "718-279-8507",
            "fax_number": "718-423-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S WORC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02252793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.