LIFETIME HEALTHCHOICE LLC (NPI# 1073009338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073009338 |
| Entity Type | Organization |
| Organization Name | LIFETIME HEALTHCHOICE LLC |
| Practice Address |
36 Hawthorne Pl Apt 4m Montclair NJ 07042-3277 |
| Practice Telephone | 9736418836 |
| Mailing Telephone | 9736418836 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | MR. DENNIS YEBOAH KORDIE (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 9736418836 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
36 HAWTHORNE PL APT 4M |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-3277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245718287 | Rapha Rehabilities | Clinic/Center | 4959 Palo Verde St Ste 110b, Montclair, CA 91763-2303 | 2018-08-01 |
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| 1053924175 | Silver Care Agency LLC | Clinic/Center | 1770 W County Line Rd Unit 105, Lakewood, NJ 08701-1176 | 2020-08-28 |
| 1609422393 | Darrell Peter Shoulars | Clinic/Center | 10 N End Ter, Newark, NJ 07104-4404 | 2019-08-17 |
| 1942853213 | Asun Star Consulting, Inc | Clinic/Center | 554 Bloomfield Ave Ste 401, Bloomfield, NJ 07003-3307 | 2019-07-16 |
| 1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
| 1013496884 | Sneha Angie Patel | Clinic/Center | 375 Ralph St, Somerset, NJ 08873-3116 | 2018-08-12 |
| 1659874675 | Nj Ecc | Clinic/Center | 31 Chamberlain Ave, Little Ferry, NJ 07643-1851 | 2018-03-15 |
| 1275046005 | Edison Sheltered Workshop, Inc. | Clinic/Center | 328 Plainfield Ave, Edison, NJ 08817-3117 | 2017-11-15 |
| 1831614528 | Providing Hope, Inc. | Clinic/Center | 120 East River Road, Suite 3, Rumson, NJ 07760 | 2017-08-03 |
| 1073033593 | Bancroft Neurohealth | Clinic/Center | 425 Haddonfield Rd., Haddonfield, NJ 08033 | 2017-06-26 |
| Find all providers with the same taxonomy | ||||
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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.