LIFESPIRE, INC. (NPI# 1487867511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487867511 |
| Entity Type | Organization |
| Organization Name | LIFESPIRE, INC. |
| Other Organization Name | ASSOCIATION FOR CRMD, INC. |
| Practice Address |
2213 Wallace Ave Bronx NY 10467-9503 |
| Mailing Address |
One Whitehall Street, 9th Floor New York NY 10004-2141 |
| Practice Telephone | 7186523838 |
| Mailing Telephone | 2127410100 |
| Mailing Fax Number | 6464730589 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-07-11 |
| Authorized Official Name | KEITH LEE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2127410100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 7061443 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00771637 | 05 |
| Other Name | Type Code |
|---|---|
| Association for CRMD, Inc. | Former Legal Business Name - Organization |
| 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 |
| 1366654154 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 201 Second Avenue, New York, NY 10003 | 2007-05-04 |
| 1376755173 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 61-56 219th Street, Bayside, NY 11364 | 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 |
| Street Address |
2213 WALLACE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1548616063 | The Institutes of Applied Human Dynamics, Inc. | Intermediate Care Facility, Mentally Retarded | 632 Manida St, Bronx, NY 10474-6403 | 2016-05-13 |
| 1124474630 | The Institutes of Applied Human Dynamics, Inc. | Intermediate Care Facility, Mentally Retarded | 1471 Teller Ave, Bronx, NY 10457-8949 | 2016-05-13 |
| 1053766816 | The Institutes of Applied Human Dynamics, Inc. | Intermediate Care Facility, Mentally Retarded | 621 Bryant Ave, Bronx, NY 10474-6513 | 2016-04-29 |
| 1457650392 | Sco Family of Services | Intermediate Care Facility, Mentally Retarded | 1250 E 229th St, Bronx, NY 10466-5851 | 2011-03-17 |
| 1679734560 | The Institutes of Applied Human Dynamics,inc | Intermediate Care Facility, Mentally Retarded | 2036 Ryer Ave, Bronx, NY 10457-3704 | 2008-06-23 |
| 1265601801 | Young Adult Institute, Inc. | Intermediate Care Facility, Mentally Retarded | 3079 Hull Ave, Bronx, NY 10467-4603 | 2008-02-28 |
| 1033388533 | Young Adult Institute, Inc. | Intermediate Care Facility, Mentally Retarded | 281 W 261st St, Bronx, NY 10471-1124 | 2008-02-28 |
| 1760664361 | Association for The Advancement of Blind and Retarded Inc | Intermediate Care Facility, Mentally Retarded | 2399 Tiebout Avenue, Bronx, NY 10458 | 2007-12-05 |
| 1508045303 | Association for The Advancement of Blind and Retarded Inc | Intermediate Care Facility, Mentally Retarded | 2239 Grand Avenue, Bronx, NY 10453 | 2007-10-29 |
| Find all providers in BRONX | ||||
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| 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.