NPIMap

Organization Active NPI

Lifespire, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn, NY
National Provider Identifier
1902018013
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7061442 Issued in NY
Legal business name
LIFESPIRE, INC.
Practice address
2430 Bath Avenue
Brooklyn, NY 11214
Phone
(718) 373-3117
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Emilio Bonilla
Title
Cfo
Phone
(212) 741-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7061442 NY Primary

Addresses

Primary practice location

2430 Bath Avenue
Brooklyn, NY 11214

Mailing address

462 Fashion Ave FL 5
New York, NY 10018-7852
Phone (212) 741-0100

Other identifiers 1

IdentifierTypeStateIssuer
00772216MedicaidNY

Other names 1

  • Associatiion for CRMD, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Association for CRMD Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

2430 Bath Ave
Brooklyn, NY 11214
Phone (718) 373-3117

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1902018013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 FASHION AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187852",
            "telephone_number": "212-741-0100",
            "fax_number": "212-320-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 BATH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-373-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPIRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-741-0100"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "7061442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00772216",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associatiion for CRMD, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.