LIFESPIRE, INC.


Address: 146 South Ave, Staten Island, NY 10303-1665
Phone: 7182739871

LIFESPIRE, INC. (NPI# 1134332257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134332257
Entity Type Organization
Organization Name LIFESPIRE, INC.
Other Organization Name ASSOCIATION FOR CRMD, INC.
Practice Address 146 South Ave
Staten Island
NY 10303-1665
Mailing Address One Whitehall Street
9th Floor
New York
NY 10004-2141
Practice Telephone 7182739871
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 7338442 NY Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NY 01171580 05

Other Provider/Organization Names

Other Name Type Code
Association for CRMD, Inc. Former Legal Business Name - Organization

Other Provider IDs and Locations

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
1073726188 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 107 Jumel St, Staten Island, NY 10308-1720 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

Office Location

Street Address 146 SOUTH AVE
City STATEN ISLAND
State NY
Zip Code 10303-1665

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114580297 Krisiya Ilianna Deschamps-perez Registered Nurse 12 Kinsey Pl, Staten Island, NY 10303 2019-04-15
1376057398 Vine Gate Inc. Case Management 42 Amity Pl, Staten Island, NY 10303 2017-11-29
1396289815 Lateefat Onitiri Licensed Practical Nurse 21 Wright Avenue, Staten Island, NY 10303 2016-12-19
1922466101 Lydia Ogaja Registered Nurse 176 B Netherland Avenue, Staten Island, NY 10303 2016-02-03
1679994594 Sibi Abraham Physical Therapist 2324 Forest Ave Ny, Staten Island, NY 10303 2013-12-18
1750633442 Geraldine Gamboa Physical Therapist 939 Goethals Road North, Unit 1, Staten Island, NY 10303 2012-10-05
1710235635 Michael J. Tighe Specialist 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 2012-08-27
1710232798 Funmilola Azeezat Kolawole Licensed Practical Nurse 85 Lockman Av, Staten Island, NY 10303 2012-07-17
1396013520 Destiny Rodriguez Interpreter 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 2011-12-02
1497043756 Margaret Ultra Home Care Inc. Licensed Practical Nurse 271b Maple Parkway, Staten Island, NY 10303 2011-07-20
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

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
1073726188 Lifespire, Inc. Intermediate Care Facility, Mentally Retarded 107 Jumel St, Staten Island, NY 10308-1720 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
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Competitor

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City STATEN ISLAND
Zip Code 10303

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Dataset Information

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.

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