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LIFESPIRE INC. NPI 1487867511


NPI Information

NPI: 1487867511
Provider Name: LIFESPIRE, INC.

Former Legal Business Name: ASSOCIATION FOR CRMD, INC.

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
2213 WALLACE AVE
BRONX, NY
ZIP 10467
Phone: (718) 652-3838
Get Directions

LIFESPIRE, INC. is an intermediate care facility mentally retarded in Bronx, NY. The provider is (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. LIFESPIRE, INC. NPI is 1487867511. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Association For Crmd, Inc..

The provider's business location address is:

2213 WALLACE AVE
BRONX, NY
ZIP 10467-503
Phone: (718) 652-3838

The provider's authorized official is Keith Lee .
The authorized official title is Chief Financial Officer and has the following contact phone number (212) 741-0100.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 7/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded7061443NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100771637MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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