LIFESPIRE INC. NPI 1073726188

NPI Information

NPI: 1073726188
Provider Name: LIFESPIRE, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Former Legal Business Name: ASSOCIATION FOR CRMD
Address: 107 JUMEL ST
STATEN ISLAND, NY
ZIP 10308
Phone: (718) 317-2398

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NPI Details

LIFESPIRE, INC. is an intermediate care facility mentally retarded in Staten Island, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LIFESPIRE, INC. NPI is 1073726188. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Association For Crmd.

The provider's business location address is:

107 JUMEL ST
STATEN ISLAND, NY
ZIP 10308-720
Phone: (718) 317-2398

The provider's authorized official is Keith Lee .
The authorized official title is Chief Financial Officer and has the following contact phone number (212) 741-0100.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 7/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		7338444	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01496982	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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