LIFEBACK (NPI# 1265968499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265968499 |
| Entity Type | Organization |
| Organization Name | LIFEBACK |
| Practice Address |
4 Princess Rd Suite 206 Lawrenceville NJ 08648-2322 |
| Practice Telephone | 6094823701 |
| Practice Fax Number | 6094823702 |
| Mailing Telephone | 6094823701 |
| Mailing Fax Number | 6094823702 |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MS. KATHLEEN LEE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6094823701 |
| Authorized Official Credential | LPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NJ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780015412 | Lifeback | Clinic/Center | 4 Princess Rd, Bldg 200 / Suite 206, Lawrenceville, NJ 08648-2322 | 2013-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | LIFEBACK MINISTRIES, INC. | 712 5th Ave, Alton, IA 51003 |
| Washington State Corporations | LIFEBACK OUTREACH | 1324 N Liberty Lake Rd # 261, Liberty Lake, WA 99019-8523 |
| Street Address |
4 PRINCESS RD SUITE 206 |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690956 | Darmakusuma Ie | Ophthalmology | 4 Princess Rd, Ste 101, Lawrenceville, NJ 08648-2322 | 2005-06-23 |
| 1730652298 | Susanne Giller | Occupational Therapist | 4 Princess Rd, Lawrenceville, NJ 08648-2322 | 2019-01-08 |
| 1770019168 | Stephen William Rynn | Social Worker | 4 Princess Rd, Suite 206, Lawrenceville, NJ 08648-2322 | 2017-05-04 |
| 1932576477 | Lifecare Physicians, P.C. | Nurse Practitioner | 4 Princess Rd, Suite 209, Lawrenceville, NJ 08648-2322 | 2015-09-01 |
| 1396112736 | Lifecare Physicians, P.C. | Obstetrics & Gynecology | 4 Princess Rd, Suite 209, Lawrenceville, NJ 08648-2322 | 2015-09-01 |
| 1790151025 | Lifecare Physicians, P.C. | Internal Medicine | 4 Princess Rd, Suite 209, Lawrenceville, NJ 08648-2322 | 2015-08-21 |
| 1285025452 | Bridgeway Rehabilitation Services | Case Management | 4 Princess Rd, Suite 205b, Lawrenceville, NJ 08648-2322 | 2015-02-10 |
| 1821405234 | Premier Sleep and Wellness | Internal Medicine | 4 Princess Rd, Suite 206, Lawrenceville, NJ 08648-2322 | 2014-07-17 |
| 1033526942 | Lifecare Health and Wellness | Counselor | 4 Princess Rd, Suite 206, Lawrenceville, NJ 08648-2322 | 2014-07-14 |
| 1780015412 | Lifeback | Clinic/Center | 4 Princess Rd, Bldg 200 / Suite 206, Lawrenceville, NJ 08648-2322 | 2013-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1730725862 | The Arc/mercer Inc. | Community/Behavioral Health | 28 Freedom Ct, Lawrenceville, NJ 08648-4552 | 2019-11-25 |
| 1558907683 | The Arc/mercer Inc. | Community/Behavioral Health | 30 Freedom Ct, Lawrenceville, NJ 08648-4552 | 2019-11-25 |
| 1659930279 | Smart Guobadia | Community/Behavioral Health | 1174 Mckendree Church Rd Ste 100, Lawrenceville, GA 30043-6000 | 2019-06-07 |
| 1518459270 | Eagle Counseling & Consulting LLC | Community/Behavioral Health | 1561 Bramlett Hill Ln, Lawrenceville, GA 30045-2601 | 2018-05-30 |
| 1457871782 | Serv Achievement Centers Inc | Community/Behavioral Health | 6 Wilk Ct, Lawrenceville, NJ 08648-1463 | 2017-06-27 |
| 1699206177 | Hrs Consulting LLC | Community/Behavioral Health | 800 Livery Cir, Lawrenceville, GA 30046-9345 | 2017-03-25 |
| 1487106563 | Village Life,llc | Community/Behavioral Health | 569 Granite Ct, Lawrenceville, GA 30044-6931 | 2016-10-25 |
| 1679955132 | Arc Mercer, Inc | Community/Behavioral Health | 2350 Princeton Pike, Apt 425, Lawrenceville, NJ 08648-3937 | 2015-06-22 |
| 1740662204 | Arc Mercer, Inc | Community/Behavioral Health | 423 Lawrenceville Rd, Apt 510, Lawrenceville, NJ 08648-4229 | 2015-06-22 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
Please comment or provide details below to improve the information on LIFEBACK.
| 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.