NPIMap

Organization Active NPI

Lifepath, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bethlehem, PA
National Provider Identifier
1982651600
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
112030 Issued in PA
Legal business name
LIFEPATH, INC.
Practice address
3500 High Point Blvd
Bethlehem, PA 18017-7803
Phone
(610) 264-5724
Fax
(610) 264-2707
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Mr. Paul H Coleman
Title
C.E.O.
Phone
(610) 264-5724

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Early Intervention Provider Agency 252Y00000X
Adult Mental Health Clinic/Center 261QM0850X 142420 PA
Intellectual Disabilities Intermediate Care Facility 315P00000X 545510 PA
Intellectual Disabilities Intermediate Care Facility 315P00000X 555140 PA
Intellectual Disabilities Intermediate Care Facility 315P00000X 629740 PA
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 112030 PA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 112030 PA Primary

Addresses

Primary practice location

3500 High Point Blvd
Bethlehem, PA 18017-7803

Mailing address

3500 High Point Blvd
Bethlehem, PA 18017-7803
Phone (610) 264-5724

Other identifiers 4

IdentifierTypeStateIssuer
100001074MedicaidPA
LI1334230OtherBLUE CROSS/BLUE SHIELD
DA2402OtherRAILROAD MEDICARE
11500557OtherKEYSTONE MERCY HEALTH PLA

Other names 1

  • Community Foundation for Human Development, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040916000189 PA Part B Supplier - Clinic/Group Practice 1254307580 Receives reassigned benefits from 2 practitioners
Practice locations: Drexel Hill, PA

National Provider Directory

National Provider Directory

Locations

3500 High Point Blvd
Bethlehem, PA 18017
Phone (610) 264-5724

2 Life Mark Dr
Sellersville, PA 18960
Phone (215) 257-0471

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1982651600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 HIGH POINT BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177803",
            "telephone_number": "610-264-5724",
            "fax_number": "610-264-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 HIGH POINT BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177803",
            "telephone_number": "610-264-5724",
            "fax_number": "610-264-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "610-264-5724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "142420",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "PA",
            "license": "545510",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "PA",
            "license": "555140",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "PA",
            "license": "629740",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "112030",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "112030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001074",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "LI1334230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLA",
            "identifier": "11500557",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Foundation for Human Development, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.