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Contact Information

LIFESPIRE, INC.
107 JUMEL ST
STATEN ISLAND, NY10308-1720
 Phone: 718-317-2398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for LIFESPIRE, INC.

NPI # 1073726188
LBN Legal business name LIFESPIRE, INC.
Authorized official KEITH LEE - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/07/2007
Last updated 07/11/2012 - About 14 years ago
Identifiers
NY License # 7338444
NY Medicaid 01496982
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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