Active NPI
Lifespire, Inc.
- Intellectual Disabilities Intermediate Care Facility
- Brooklyn, NY
National Provider Identifier
1992918015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 7061440
- Legal business name
- LIFESPIRE, INC.
- Practice address
- 254 Sherman St
Brooklyn, NY 11218-1318 - Phone
- (718) 633-2175
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 7061440 | NY | Primary |
Addresses
Primary practice location
254 Sherman St
Brooklyn, NY 11218-1318
Mailing address
462 7TH Ave FL 5
New York, NY 10018-7606
Phone (212) 741-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00357066 | Medicaid | NY |
Other names 1
- Association for CRMD, Inc.
National Provider Directory
National Provider Directory- Tax ID family
- Association for CRMD Inc
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Hollis, NY
- NPI 1932495520
-
- Intellectual Disabilities Intermediate Care Facility
- Staten Island, NY
- NPI 1073726188
-
- Intellectual Disabilities Intermediate Care Facility
- Staten Island, NY
- NPI 1134332257
-
- Intellectual Disabilities Intermediate Care Facility
- Bronx, NY
- NPI 1366654154
-
- Intellectual Disabilities Intermediate Care Facility
- Bayside, NY
- NPI 1376755173
-
- Intellectual Disabilities Intermediate Care Facility
- New York, NY
- NPI 1467664243
-
- Intellectual Disabilities Intermediate Care Facility
- Bronx, NY
- NPI 1487867511
-
- Mental Illness Intermediate Care Facility
- Staten Island, NY
- NPI 1578775169
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Connelly, NY
- NPI 1821352972
-
- Intellectual Disabilities Intermediate Care Facility
- Brooklyn, NY
- NPI 1902018013
-
- Intellectual Disabilities Intermediate Care Facility
- Woodside, NY
- NPI 1912126152
-
- Intellectual Disabilities Intermediate Care Facility
- South Ozone Park, NY
- NPI 1922210699
Locations
254 Sherman St
Brooklyn, NY 11218
Phone (718) 633-2175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1992918015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 7TH AVE FL 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187606",
"telephone_number": "212-741-0100",
"fax_number": "212-741-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 SHERMAN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112181318",
"telephone_number": "718-633-2175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPIRE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"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": "7061440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00357066",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Association 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.