Active NPI
Lifespring, Inc
Doing business as LifeSpring Adult Integrated Medical Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- LIFESPRING, INC
- Doing business as
- LifeSpring Adult Integrated Medical Services
- Practice address
- 404 Spring St
Jeffersonville, IN 47130-3452 - Phone
- (812) 206-1303
- NPI assigned
- Feb 5, 2019
- Last updated
- Feb 15, 2019
- Organization subpart
- Yes
- Parent organization
- LIFESPRING, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Anne Grider
- Title
- Vice President
- Phone
- (812) 206-1240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
404 Spring St
Jeffersonville, IN 47130-3452
Mailing address
460 Spring St
Jeffersonville, IN 47130-3452
Phone (812) 206-1303
Other names 1
- LifeSpring Adult Integrated Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315000128 | IN | Part B Supplier - Clinic/Group Practice | 5294624508 |
Receives reassigned benefits from 66 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Albany, IN; Paoli, IN; Rockport, IN; Salem, IN; Scottsburg, IN; Tell City, IN; Jeffersonville, IN; Madison, IN… |
| O20040805000332 | IN | Part B Supplier - Clinic/Group Practice | 5294624508 |
Receives reassigned benefits from 115 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dale, IN; Tell City, IN; Scottsburg, IN; Salem, IN; Rockport, IN; Paoli, IN; New Albany, IN; Madison, IN… |
| O20190213000220 | IN | Part A Provider - Federally Qualified Health Center (FQHC) | 5294624508 | Practice locations: Jeffersonville, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1861957706. Details of each certification follow.
Federally qualified health center certification: CCN 151037
- Legal name
- LIFESPRING, INC
- Doing business as
- LIFESPRING ADULT INTEGRATED MEDICAL SERVICES
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 11, 2019
- Last certification
- Feb 11, 2019
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Apr 15, 1964 in IN
- Enrollment address
- 404 Spring St
Jeffersonville, IN 47130-3452
Other NPIs with the same Medicare PAC ID 15
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
5294624508
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
5294624508
-
dba New Albany Community Medical Services
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1750056461
5294624508
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
5294624508
-
dba Salem Community Schools Health Center
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1255006961
5294624508
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
5294624508
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
5294624508
-
dba LifeSpring Orleans Family Health
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1265277883
5294624508
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
5294624508
-
dba Metro Mobile Unit
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1619698669
5294624508
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1700435948
5294624508
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1811512239
5294624508
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
O20040315000128, O20040805000332
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
O20040315000128, O20040805000332
-
dba New Albany Community Medical Services
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1750056461
O20040315000128, O20040805000332
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1851751887
O20040315000128, O20040805000332
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
O20040315000128, O20040805000332
-
dba Salem Community Schools Health Center
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1255006961
O20040315000128, O20040805000332
-
- Community/Behavioral Health Agency
- English, IN
- NPI 1104393206
O20040315000128, O20040805000332
-
dba Hope Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Jasper, IN
- NPI 1164287595
O20040805000332
-
dba Charlestown Behavioral Services
- Community/Behavioral Health Agency
- Charlestown, IN
- NPI 1457186355
O20040805000332
-
- Community/Behavioral Health Agency
- Jasper, IN
- NPI 1487121687
O20040315000128, O20040805000332
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
O20040805000332
-
- Community/Behavioral Health Agency
- Tell City, IN
- NPI 1548737646
O20040315000128, O20040805000332
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2165011 | Adult Integrated Medical Services | Certificate of waiver | Apr 16, 2027 |
National Provider Directory
National Provider Directory- Part of
- Lifespring Inc
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Judith Steedly | Corporate Director | Jul 27, 2015 | |
| Nicholas Stein | Corporate Director | Nov 1, 2013 | |
| Pamela Clover | Corporate Director | Nov 1, 2013 | |
| Christine Grider | Corporate Officer | Nov 1, 2013 | |
| Corporate Director | Nov 1, 2013 | ||
| W-2 Managing Employee | Nov 1, 2013 | ||
| Operational/Managerial Control | Nov 1, 2013 | ||
| Katherine Danner | Corporate Director | May 11, 2008 | |
| Dwight Edward Lindsay | Corporate Director | Jul 27, 2015 | |
| Jan Vetrhus | Corporate Director | Jan 24, 2009 | |
| Rebecca C Marshall | Corporate Director | Nov 1, 2013 | |
| Lifespring, Inc | 5% Or Greater Direct Ownership Interest | Feb 1, 2019 | 100% |
| Anne Beth Kenney | Corporate Officer | Jan 1, 2021 | |
| W-2 Managing Employee | Jan 1, 2021 | ||
| Operational/Managerial Control | Jan 1, 2021 | ||
| Samuel Eckart | Corporate Director | Jun 21, 2010 | |
| Lindsey Fleming | Corporate Director | Nov 1, 2013 | |
| David Fowler | Corporate Director | Nov 1, 2013 | |
| Chad Lewis | Corporate Director | Mar 13, 2009 | |
| Larry Medlock | Corporate Director | Mar 13, 2009 |
Owners & managing parties with NPI records 15
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
5% Or Greater Direct Ownership Interest
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
5% Or Greater Direct Ownership Interest
-
dba New Albany Community Medical Services
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1750056461
5% Or Greater Direct Ownership Interest
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
5% Or Greater Direct Ownership Interest
-
dba Salem Community Schools Health Center
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1255006961
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
5% Or Greater Direct Ownership Interest
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Orleans Family Health
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1265277883
5% Or Greater Direct Ownership Interest
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
5% Or Greater Direct Ownership Interest
-
dba Metro Mobile Unit
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1619698669
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1700435948
5% Or Greater Direct Ownership Interest
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1811512239
5% Or Greater Direct Ownership Interest
All facility ownership & control disclosures 12
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lifespring Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2015 |
| Salem Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Dec 15, 2016 |
| Lifespring, Inc | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 15, 1966 |
| Austin Medical Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 16, 1966 |
| New Albany Student Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Jasper Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Metro Mobile Unit | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Apr 16, 1966 |
| Dale Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 2024 |
| Lifespring Orleans Family Health | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 24, 2024 |
| Charlestown Community Medical Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Aug 21, 2024 |
| Lifespring Forensics Health Services | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2024 |
| Floyd Central Student Health Center | Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Nov 27, 2023 |
Owned or controlled facilities with NPI records 12
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
5% Or Greater Direct Ownership Interest
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
5% Or Greater Direct Ownership Interest
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
5% Or Greater Direct Ownership Interest
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
5% Or Greater Direct Ownership Interest
-
dba LifeSpring Orleans Family Health
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1265277883
5% Or Greater Direct Ownership Interest
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
5% Or Greater Direct Ownership Interest
-
dba Metro Mobile Unit
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1619698669
5% Or Greater Direct Ownership Interest
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1700435948
5% Or Greater Direct Ownership Interest
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1811512239
5% Or Greater Direct Ownership Interest
-
dba Lifespring Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1982083564
5% Or Greater Direct Ownership Interest
-
dba Charlestown Community Medical Services
- Federally Qualified Health Center (FQHC)
- Charlestown, IN
- NPI 1992549398
5% Or Greater Direct Ownership Interest
Facilities with the same owner 12
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba New Albany Student Health Center
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1326611187
Lifespring, Inc
-
dba Salem Community Medical Services
- Federally Qualified Health Center (FQHC)
- Salem, IN
- NPI 1568907673
Lifespring, Inc
-
dba Jasper Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jasper, IN
- NPI 1023681889
Lifespring, Inc
-
dba LifeSpring Forensics Health Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1043010077
Lifespring, Inc
-
dba Dale Community Medical Services
- Federally Qualified Health Center (FQHC)
- Dale, IN
- NPI 1205673084
Lifespring, Inc
-
dba LifeSpring Orleans Family Health
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1265277883
Lifespring, Inc
-
dba Floyd County Student Health Center
- Federally Qualified Health Center (FQHC)
- Floyds Knobs, IN
- NPI 1497522692
Lifespring, Inc
-
dba Metro Mobile Unit
- Federally Qualified Health Center (FQHC)
- New Albany, IN
- NPI 1619698669
Lifespring, Inc
-
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1700435948
Lifespring, Inc
-
dba Austin Medical Center
- Federally Qualified Health Center (FQHC)
- Austin, IN
- NPI 1811512239
Lifespring, Inc
-
dba Lifespring Community Medical Services
- Federally Qualified Health Center (FQHC)
- Jeffersonville, IN
- NPI 1982083564
Lifespring, Inc
-
dba Charlestown Community Medical Services
- Federally Qualified Health Center (FQHC)
- Charlestown, IN
- NPI 1992549398
Lifespring, Inc
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Jeffersonville, IN
- NPI 1326797408
-
- Clinical Social Worker
- Jeffersonville, IN
- NPI 1437887023
-
- Clinical Social Worker
- Jeffersonville, IN
- NPI 1659249498
-
- Psychiatric/Mental Health Nurse Practitioner
- New Albany, IN
- NPI 1558081521
-
- Social Worker
- Evansville, IN
- NPI 1710558978
-
- Clinical Social Worker
- Brandenburg, KY
- NPI 1144488776
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1720694706
-
- Family Nurse Practitioner
- Jeffersonville, IN
- NPI 1114412442
-
- Social Worker
- Jeffersonville, IN
- NPI 1164079125
-
- Psychiatric/Mental Health Nurse Practitioner
- Jeffersonville, IN
- NPI 1558014407
-
- Psychiatric/Mental Health Nurse Practitioner
- Louisville, KY
- NPI 1083251763
-
- Clinical Social Worker
- Vero Beach, FL
- NPI 1588393904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550188800000",
"number": "1861957706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303452",
"telephone_number": "812-206-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 SPRING ST",
"city": "JEFFERSONVILLE",
"state": "IN",
"postal_code": "471303452",
"telephone_number": "812-206-1303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPRING, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFESPRING, INC",
"enumeration_date": "2019-02-05",
"last_updated": "2019-02-15",
"status": "A",
"authorized_official_last_name": "GRIDER",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "812-206-1240"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LifeSpring Adult Integrated Medical Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LifeSpring Adult Integrated Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jeffersonville, IN
- Lifespring, Inc (LifeSpring Forensics Clark County)
- Lifespring, Inc (LifeSpring Integrated Treatment Center)
- Lifespring, Inc (LifeSpring Turning Point Center)
- Lifespring, Inc
- Lifespring, Inc (Southern Indiana Mental Health and Guidance Center of ECI)
- Lifespring, Inc (Lifespring Community Medical Services)
- Liliana Torres-Popp, M.D., P.S.C. (Liliana Torres-Popp, M.D.)
- Limestone Dentistry LLC
- John Eric Lindner, MD
- Robert M Lindner, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.