NPIMap

Organization Active NPI

Lifespire, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Woodside, NY
National Provider Identifier
1912126152
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
6376400 Issued in NY
Legal business name
LIFESPIRE, INC.
Practice address
4029 61St St
Woodside, NY 11377-4959
Phone
(718) 899-8401
NPI assigned
Apr 25, 2007
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Keith Lee
Title
Chief Financial Officer
Phone
(212) 741-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 6376400 NY Primary

Addresses

Primary practice location

4029 61St St
Woodside, NY 11377-4959

Mailing address

One Whitehall Street
9TH Floor
New York, NY 10004-2141
Phone (212) 741-0100

Other identifiers 1

IdentifierTypeStateIssuer
01114992MedicaidNY

Other names 1

  • Association 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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1912126152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE WHITEHALL STREET",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042141",
            "telephone_number": "212-741-0100",
            "fax_number": "646-473-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 61ST ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774959",
            "telephone_number": "718-899-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPIRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "212-741-0100"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "6376400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01114992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Association for CRMD, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.