LIFESTREAM, INC (NPI# 1154540771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154540771 |
| Entity Type | Organization |
| Organization Name | LIFESTREAM, INC |
| Practice Address |
13 Welby Rd New Bedford MA 02745-1132 |
| Mailing Address |
Po Box 50487 New Bedford MA 02745-0017 |
| Practice Telephone | 5089981116 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN A LATAWIEC (PRESIDENT, CEO) |
| Authorized Official Telephone | 5089931991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1312588 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871712489 | Lifestream, Inc | Day Training, Developmentally Disabled Services | 444 Myrtle St, New Bedford, MA 02746-1682 | 2007-04-24 |
| 1477702066 | Lifestream, Inc | Foster Care Agency | 444 Myrtle St, New Bedford, MA 02746-1682 | 2008-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | LIFESTREAM, INC. | 3306 Virginia Ave, Colorado Springs, CO 80907 |
| Street Address |
13 WELBY RD |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02745-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891740841 | Michael R. Obolensky | Psychologist | 13 Welby Rd, Suite 2, New Bedford, MA 02745-1132 | 2006-05-24 |
| 1629568761 | Kristina R Belanger | Social Worker | 13 Welby Rd, New Bedford, MA 02745-1132 | 2018-05-15 |
| 1780737874 | John Joseph Mccarthy | Psychologist | 13 Welby Rd, Suite 2, New Bedford, MA 02745-1132 | 2007-01-19 |
| 1912060542 | Charles C. Howland | Psychologist | 13 Welby Rd, New Bedford, MA 02745-1132 | 2006-12-18 |
| 1376619700 | Neil Edmund Bowen | Psychologist | 13 Welby Rd, Suite 2, New Bedford, MA 02745-1132 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318272 | Sandra Thelma Malek | Physical Therapist | 748 Ashley Blvd, New Bedford, MA 02745 | 2019-04-02 |
| 1497290829 | Southcoast Hair Options | Prosthetist | 2082 Acushnet Ave., New Bedford, MA 02745 | 2016-12-20 |
| 1154665792 | Christine M. Homen Msw,licsw | Community/Behavioral Health | 32 Welby Road, Suite 114b, New Bedford, MA 02745 | 2012-11-20 |
| 1679858286 | Brian E Lang | Pharmacist | 1737acushnet Ave, New Bedford, MA 02745 | 2011-10-14 |
| 1063793826 | Internal Medicine and Preventive Care, P.C. | Clinic/Center | 130 Virgo Dr, New Bedford, MA 02745 | 2011-09-07 |
| 1942447289 | Dental Dreams, LLC | Dentist | 1054 Kings Highway, New Bedford, MA 02745 | 2009-01-08 |
| 1437314374 | Mary Lou Marques | Durable Medical Equipment & Medical Supplies | 1980 Acushnet Avenue, New Bedford, MA 02745 | 2008-07-21 |
| 1871751958 | Deborah M Okafor | Occupational Therapist | 27 Maddie Dr, New Bedford, MA 02745 | 2008-05-27 |
| 1114192457 | Lucia Vargas Williams | Social Worker | 1121 Ashley Blvd., New Bedford, MA 02745 | 2008-04-28 |
| 1386825776 | Pine Grove Chiropractic, P.C. | Chiropractor | 934 Ashley Boulevard, New Bedford, MA 02745 | 2007-11-14 |
| Find all providers in zip 02745 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568632040 | Kennedy Donovan Center, Inc | Day Training, Developmentally Disabled Services | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2008-03-11 |
| 1871712489 | Lifestream, Inc | Day Training, Developmentally Disabled Services | 444 Myrtle St, New Bedford, MA 02746-1682 | 2007-04-24 |
| 1912231838 | Better Community Living, Inc. | Day Training, Developmentally Disabled Services | 384 County St, New Bedford, MA 02740-4980 | 2009-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385631 | Dynamic Support Team LLC | Day Training, Developmentally Disabled Services | 20 Commercial Dr, Dracut, MA 01826-2837 | 2020-10-29 |
| 1992363741 | Lifelinks, Inc | Day Training, Developmentally Disabled Services | 50t Concord St, Wilmington, MA 01887-2179 | 2019-06-05 |
| 1710541479 | Northeast Arc | Day Training, Developmentally Disabled Services | 100 Independence Way Ste W150, Danvers, MA 01923-3626 | 2019-04-29 |
| 1841758463 | Launchpad LLC | Day Training, Developmentally Disabled Services | 3 Oakhill Ave, Foxborough, MA 02035-2926 | 2019-03-04 |
| 1295290765 | Moving Forward Inc. | Day Training, Developmentally Disabled Services | 141 Falmouth Rd, Hyannis, MA 02601-2755 | 2019-02-08 |
| 1326570235 | Venture Community Services, Inc | Day Training, Developmentally Disabled Services | 670 Douglas St, Uxbridge, MA 01569-2001 | 2017-03-30 |
| 1063964351 | Autism Advocates of New England Inc | Day Training, Developmentally Disabled Services | 10 Ashburnham Rd, Worcester, MA 01605-1310 | 2016-11-02 |
| 1205208220 | Ashley Ortiz | Day Training, Developmentally Disabled Services | 90 Fenno St, Revere, MA 02151-3808 | 2015-10-29 |
| 1083092274 | Cardinal Cushing Centers, Inc. | Day Training, Developmentally Disabled Services | 291 Rockland St, Hanover, MA 02339-2385 | 2015-05-08 |
| 1245649151 | Nupath Inc. | Day Training, Developmentally Disabled Services | 7 Lyberty Way, Westford, MA 01886-3617 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02745 |
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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.