LIFESPIRE, INC. (NPI# 1578775169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578775169 |
| Entity Type | Organization |
| Organization Name | LIFESPIRE, INC. |
| Other Organization Name | ASSOCIATION FOR CRMD, INC. |
| Practice Address |
630 Hylan Boulevard Staten Island NY 10305 |
| Mailing Address |
One Whitehall Street 9th Floor New York NY 10004-2141 |
| Practice Telephone | 7187272740 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 7338440 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00562905 | 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 |
| 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 |
| 1376755173 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 61-56 219th Street, Bayside, NY 11364 | 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 |
630 HYLAN BOULEVARD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537271 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 283 Route 25a, Shoreham, NY 11786-2135 | 2019-06-17 |
| 1508300393 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 915 Rainbow Commons Court, Melville, NY 11747-9001 | 2016-12-13 |
| 1871037648 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 919 Rainbow Commons Court, Melville, NY 11747-9001 | 2016-12-13 |
| 1972967859 | Citizens Options Unlimited Inc | Intermediate Care Facility, Mental Illness | 904 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-07 |
| 1326400631 | Qsac, Inc | Intermediate Care Facility, Mental Illness | 901 Melville Estates Ct, Melville, NY 11747-2827 | 2016-03-25 |
| 1225317266 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 304 Daley Blvd, Rochester, NY 14617 | 2011-08-09 |
| 1407135445 | Easter Seals New York, Inc. | Intermediate Care Facility, Mental Illness | 404 Rogers Pkwy, Rochester, NY 14617 | 2011-08-09 |
| 1316226350 | Easter Seals of Ny, Inc | Intermediate Care Facility, Mental Illness | 302 Daley Boulevard, Rochester, NY 14617 | 2011-08-09 |
| 1114213824 | Gotham | Intermediate Care Facility, Mental Illness | 116 John St., New York, NY 10038-3414 | 2011-06-21 |
| 1215240403 | Nassau County Association for The Help of Retarded Citizens Inc | Intermediate Care Facility, Mental Illness | 980 Washington Ave., House D, Plainview, NY 11803 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
Please comment or provide details below to improve the information on LIFESPIRE, INC..
| 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.