LIFESPIRE, INC. (NPI# 1073726188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073726188 |
| Entity Type | Organization |
| Organization Name | LIFESPIRE, INC. |
| Other Organization Name | ASSOCIATION FOR CRMD |
| Practice Address |
107 Jumel St Staten Island NY 10308-1720 |
| Mailing Address |
One Whitehall Street 9th Floor New York NY 10004-2141 |
| Practice Telephone | 7183172398 |
| Mailing Telephone | 2127410100 |
| Mailing Fax Number | 6464730589 |
| Enumeration Date | 2007-05-07 |
| 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 | 315P00000X | Intermediate Care Facility, Mentally Retarded | 7338444 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01496982 | 05 |
| Other Name | Type Code |
|---|---|
| Association for CRMD | 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 |
| 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 |
107 JUMEL ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10308-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410117 | Young Minds Early Enrichment | Early Intervention Provider Agency | 143 Wiman Avenue, Staten Island, NY 10308 | 2019-10-29 |
| 1346619483 | Babymedevac, Inc. | Ambulance | 150 L Greaves Lane, Suite 142, Staten Island, NY 10308 | 2015-09-18 |
| 1497179527 | Advanced Life Care Planning LLC | Home Health | 255 Katan Ave., Score Rehab, Staten Island, NY 10308 | 2014-02-10 |
| 1255777009 | Laura Marie De La Cruz | Specialist | 132 Sandalwood Dr, Staten Island, NY 10308 | 2013-05-21 |
| 1205179363 | Danielle Gorga | Registered Nurse | 68 Harbour Court, Staten Island, NY 10308 | 2013-03-27 |
| 1427307388 | Maria Madelyn Sylvester | Specialist | 4024 Amboy Road, Staten Island, NY 10308 | 2012-09-06 |
| 1679836241 | Concetta Maria Falzone | Specialist | 51 Margaret Street, Staten Island, NY 10308 | 2012-06-19 |
| 1972865392 | Michael D. Desarlo | Specialist | 175 Sandalwood Drive, Staten Island, NY 10308 | 2012-06-12 |
| 1881991867 | Markella Zannikos | Speech-Language Pathologist | 423 Corbin Avenue, Staten Island, NY 10308 | 2011-02-28 |
| 1013227800 | Therapy Link PC | Community/Behavioral Health | 3936 Amboy Road, Staten Island, NY 10308 | 2010-10-14 |
| Find all providers in zip 10308 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863589 | Association for The Advancement of Blind and Retarded Inc | Intermediate Care Facility, Mentally Retarded | 158 Cromwell Avenue, Staten Island, NY 10304 | 2007-10-29 |
| 1134338353 | United Cerebral Palsy of New York City, Inc. | Intermediate Care Facility, Mentally Retarded | 185 Saint Marks Pl, Apts. 2l-m, Staten Island, NY 10301-1670 | 2007-05-22 |
| 1861606048 | United Cerebral Palsy of New York City Inc | Intermediate Care Facility, Mentally Retarded | 165 Saint Marks Pl, Apts 2a 2b, Staten Island, NY 10301-1669 | 2007-05-09 |
| 1134332257 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 146 South Ave, Staten Island, NY 10303-1665 | 2007-05-07 |
| 1932322518 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 35 Sharrotts Rd, Staten Island, NY 10309-1953 | 2007-04-11 |
| 1225150030 | United Cerebral Palsy Assoc of Nys Inc | Intermediate Care Facility, Mentally Retarded | 455 Medina St, Staten Island, NY 10306-4435 | 2007-04-04 |
| 1518089390 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 64 Madsen Ave, Staten Island, NY 10309-2608 | 2007-04-04 |
| 1548382393 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 17 Scarboro Ave, Staten Island, NY 10305-3118 | 2007-04-04 |
| 1023150398 | Eden II School for Autistic Children | Intermediate Care Facility, Mentally Retarded | 150 Granite Avenue, Staten Island, NY 10303 | 2007-02-13 |
| 1275673287 | State of New York | Intermediate Care Facility, Mentally Retarded | 24 O Executive Way, Staten Island, NY 10314 | 2007-02-07 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10308 |
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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.