LIFESPIRE, INC.


Address: 61-56 219th Street, Bayside, NY 11364
Phone: 7182242413

LIFESPIRE, INC. (NPI# 1376755173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376755173
Entity Type Organization
Organization Name LIFESPIRE, INC.
Other Organization Name ASSOCIATION FOR CRMD, INC.
Practice Address 61-56 219th Street
Bayside
NY 11364
Mailing Address One Whitehall Street
9th Floor
New York
NY 10004-2141
Practice Telephone 7182242413
Mailing Telephone 2127410100
Mailing Fax Number 6464730589
Enumeration Date 2007-05-04
Last Update Date 2012-07-11
Authorized Official Name KEITH LEE (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 2127410100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 7129440 Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 00357204 05

Other Provider/Organization Names

Other Name Type Code
Association for CRMD, Inc. Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821352972 Lifespire, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 315 James Street, Connelly, NY 12417 2012-07-03
1164629788 Lifespire, Inc. Voluntary or Charitable 184-10 Jamaica Ave, 5th Floor, Hollis, NY 11423-2400 2007-06-28
1073726188 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 107 Jumel St, Staten Island, NY 10308-1720 2007-05-07
1134332257 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 146 South Ave, Staten Island, NY 10303-1665 2007-05-07
1992918015 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 254 Sherman St, Brooklyn, NY 11218-1318 2007-05-07
1487867511 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 2213 Wallace Ave, Bronx, NY 10467-9503 2007-05-07
1366654154 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 201 Second Avenue, New York, NY 10003 2007-05-04
1578775169 Lifespire, Inc. Intermediate Care Facility, Mental Illness 630 Hylan Boulevard, Staten Island, NY 10305 2007-05-04
1467664243 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 484 Second Avenue 9a, New York, NY 10016 2007-05-04
1922210699 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 127-06 Old South Road, South Ozone Park, NY 11420 2007-05-04

Office Location

Street Address 61-56 219TH STREET
City BAYSIDE
State NY
Zip Code 11364

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013566363 Emily D'auria Counselor Fort Totten Bldg 413a, Bayside, NY 11364 2019-09-10
1780154377 Cherry Ye Pharmacist 5601 215th St, Bayside Hills, NY 11364 2018-11-27
1114420825 Chuenbong Jonathan Ho Dentist 6154 Springfield Blvd, Oakland Gardens, NY 11364 2018-03-09
1700303419 Jason Jin Li Pharmacist 58 32 218st, Bayside, NY 11364 2017-08-23
1265958342 Rebecca Adar Occupational Therapist 78- 26 220th Place, Bayside, NY 11364 2017-08-21
1700320298 Approaches In Learning for Special Kids Inc Home Health 73-11 210th Street, Apt 3n, Oakland Gardens, NY 11364 2016-12-19
1811448665 Connie Aronson Specialist 208-10 Richland Avenue, Hollis Hills, NY 11364 2016-10-17
1154716892 Dianne James Physical Therapy Assistant 224-09b 67th Avenue, Oakland Gardens, NY 11364 2015-03-31
1558779447 Lai Chu Elizabeth Sin Occupational Therapist 22459a Kingsbury Avenue, Oakland Gardens, NY 11364 2014-07-24
1023459849 William Choi Pharmacist 21970 64th Ave #c, Bayside, NY 11364 2013-07-09
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588786230 United Cerebral Palsy Assoc of Nys Intermediate Care Facility, Mentally Retarded 4557 211th St, Bayside, NY 11361-3249 2007-04-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336762665 Schuyler County Chapter, Nysarc, Inc. Intermediate Care Facility, Mentally Retarded 260 W 8th St, Elmira Heights, NY 14903-1502 2020-05-21
1518580851 Schuyler County Chapter, Nysarc, Inc. Intermediate Care Facility, Mentally Retarded 525 Liberty St, Elmira, NY 14904-1517 2020-05-21
1386276541 United Cerebral Palsy of Nyc Inc Intermediate Care Facility, Mentally Retarded 1841-1845 Lacombe Ave, Bronx, NY 10472 2020-02-06
1003447012 State of New York Intermediate Care Facility, Mentally Retarded 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 2020-01-29
1427696061 Elderberry Icf Intermediate Care Facility, Mentally Retarded 15 Poem Place, Monticello, NY 12701 2019-12-13
1538666052 Upstate Cerebral Palsy, Inc. Intermediate Care Facility, Mentally Retarded 95 Seymour Lane, Westmoreland, NY 13490 2018-04-11
1457857716 Nysarc, Inc. Cattaraugus-niagara County Chapter Intermediate Care Facility, Mentally Retarded 6821 Saunders Settlement Rd, Sanborn, NY 14132-9440 2018-04-04
1750804951 Iri: Innovative Resources for Independence Intermediate Care Facility, Mentally Retarded 922 Rainbow Commons Ct, Melville, NY 11747 2017-07-19
1962959403 Linda Burgess Intermediate Care Facility, Mentally Retarded 35 E 8th Ave, Gloversville, NY 12078-2229 2016-09-01
1154774727 Birch Family Services, Inc. Intermediate Care Facility, Mentally Retarded 525 W 149th St, New York, NY 10031-3402 2016-07-19
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City BAYSIDE
Zip Code 11364

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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