LIFE FOUNDATION (NPI# 1750567459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750567459 |
| Entity Type | Organization |
| Organization Name | LIFE FOUNDATION |
| Practice Address |
1496 Bangor St Se Washington DC 20020-4963 |
| Mailing Address |
2403 Irving St Ne Washington DC 20018-2536 |
| Practice Telephone | 2024875667 |
| Mailing Telephone | 2024875667 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | STEPHEN OLIVER (PRESIDENT) |
| Authorized Official Telephone | 2024875667 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | DC | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457547739 | Life Foundation | Case Management | 677 Ala Moana Blvd Ste 226, Honolulu, HI 96813-5416 | 2007-09-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LIFE FOUNDATION | 1600 Nw 59th St, Vancouver, WA 98663 |
| Iowa Business Entities | LIFE FOUNDATION | 400 Weyrauch, Iowa Falls, IA 50126 |
| Street Address |
1496 BANGOR ST SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-4963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202271 | Berkeley House Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 817 Elder St Nw, Washington, DC 20012-2323 | 2020-10-09 |
| 1003451873 | Petra Jua | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2205 16th St Se, Washington, DC 20020-4333 | 2019-11-15 |
| 1396202511 | Umbrella Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2301 Georgia Ave Nw, Washington, DC 20001-3000 | 2019-02-24 |
| 1184180408 | N2 Care Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Washington Square Cir, Washington, NJ 07882-2486 | 2019-02-11 |
| 1871074567 | Community Empowerment Opportunities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 64 New York Ave Ne Ste 100, Washington, DC 20002-3400 | 2018-08-22 |
| 1760989917 | Innovative Life Solutions Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1703 Frankford St Se, Washington, DC 20020-6309 | 2018-04-12 |
| 1780196915 | Empowering Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 S St Nw, Washington, DC 20001-1128 | 2017-10-27 |
| 1942729694 | Human Development Coalition | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313 Parkland Pl Se, Washington, DC 20032-1601 | 2017-09-13 |
| 1760900633 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Whites Rd, Washington, NJ 07882-3614 | 2017-08-31 |
| 1841718681 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 66 Park Ave Apt G2, Washington, NJ 07882-1847 | 2017-08-31 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on LIFE FOUNDATION.
| 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.