Organization Active NPI

Lifespan, Inc.

  • Home Delivered Meals
  • Homestead, PA
National Provider Identifier
1962924381
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
LIFESPAN, INC.
Doing business as
LifeSpan
Practice address
314 E 8TH Ave
Homestead, PA 15120-1518
Phone
(412) 464-1300
Fax
(412) 461-7118
NPI assigned
Jul 7, 2017
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
Virginia Jurofcik
Title
Chief Executive Officer
Phone
(412) 464-1300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Voluntary or Charitable Agency 251V00000X
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

314 E 8TH Ave
Homestead, PA 15120-1518

Mailing address

314 E 8TH Ave
Homestead, PA 15120-1518
Phone (412) 464-1300

Other identifiers 1

IdentifierTypeStateIssuer
001640344-0004MedicaidPA

Other names 1

  • LifeSpan Doing business as

National Provider Directory

National Provider Directory

Locations

314 E 8th Ave
Homestead, PA 15120
Phone (412) 464-1300

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962924381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E 8TH AVE",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201518",
            "telephone_number": "412-464-1300",
            "fax_number": "412-461-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E 8TH AVE",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201518",
            "telephone_number": "412-464-1300",
            "fax_number": "412-461-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JUROFCIK",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "412-464-1300"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001640344-0004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSpan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homestead, PA

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.