LIFESPIRE, INC. (NPI# 1821352972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821352972 |
| Entity Type | Organization |
| Organization Name | LIFESPIRE, INC. |
| Practice Address |
315 James Street Connelly NY 12417 |
| Mailing Address |
1 Whitehall St Fl 9 New York NY 10004-2141 |
| Practice Telephone | 8453317141 |
| Mailing Telephone | 2127410100 |
| Mailing Fax Number | 6464730589 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | MR. KEITH LEE (CFO) |
| Authorized Official Telephone | 2127410100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
315 JAMES STREET |
| City | CONNELLY |
| State | NY |
| Zip Code | 12417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598185076 | Robin Williams | Licensed Practical Nurse | 323 James Street, Box 7, Connelly, NY 12417 | 2014-04-23 |
| 1124287289 | Robin Elizabeth Markle | Licensed Practical Nurse | 337 James Street, Connelly, NY 12417-0160 | 2008-06-04 |
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976211 | Carolyn Luguya | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 30 Waterside Plz Apt 27g, New York, NY 10010-2626 | 2020-03-11 |
| 1548701154 | Kerry Coons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 481 Bradford Rd, Schenectady, NY 12304-3721 | 2017-03-15 |
| 1265970461 | Adults & Children W/learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 923 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2017-02-08 |
| 1891232179 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Chester St, Brooklyn, NY 11212-5505 | 2017-01-25 |
| 1972049039 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 163 Riverdale Ave, Brooklyn, NY 11212-5579 | 2017-01-13 |
| 1962947846 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80-45 Winchester Blvd Building #11, Family Residences and Essential Enterprises, Inc., Queens Village, NY 11427 | 2016-12-30 |
| 1508309857 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 918 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962945212 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 921 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962944405 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-15 |
| 1184166274 | Community Mainstreaming Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 920 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-07 |
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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.