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LIFESPAN INC NPI 1750649521


NPI Information

NPI: 1750649521
Provider Name: LIFESPAN, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1900 FAIRGROVE AVE
HAMILTON, OH
ZIP 45011
Phone: (513) 868-3210
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LIFESPAN, INC is a community behavioral health in Hamilton, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. LIFESPAN, INC NPI is 1750649521. The provider is registered as an organization entity type.

The provider's business location address is:

1900 FAIRGROVE AVE
HAMILTON, OH
ZIP 45011-966
Phone: (513) 868-3210
Fax: (513) 868-3249

The provider's authorized official is William Staler .
The authorized official title is Ceo and has the following contact phone number (513) 868-3210.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 4/30/2012.


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
1251S00000XCommunity/Behavioral HealthS.1000444OHIONo
2251S00000XCommunity/Behavioral HealthI.0003470-SUPVOHIONo
3251S00000XCommunity/Behavioral HealthE.0004344-SUPVOHIONo
4251S00000XCommunity/Behavioral HealthS.1000832OHIONo
5251S00000XCommunity/Behavioral Health35-029775OHIONo
6251S00000XCommunity/Behavioral HealthI.1000343OHIONo
7251S00000XCommunity/Behavioral HealthE.0601020OHIONo
8251S00000XCommunity/Behavioral HealthE.0600276-SUPVOHIONo
9251S00000XCommunity/Behavioral HealthI.0008038SUPVOHIONo
10251S00000XCommunity/Behavioral HealthI.0010181-SUPVOHIOYes

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
12864431MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.