National Provider Identifier Database

LIFE STYLES SUPPORTS INC
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

LIFE STYLES SUPPORTS, INC.
116 DENSTEN RD
SEWELL, NJ08080-1890
Phone: 856-589-5640
Fax: 856-589-1516
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X
In Home Supportive Care 253Z00000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X

* Indicates primary specialty

NPI Profile & details for LIFE STYLES SUPPORTS, INC.

NPI Number 1932511458
Legal business name
LBN
LIFE STYLES SUPPORTS, INC.
Authorized official DIANE HERNANDEZ - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/02/2014
Last updated 06/16/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ Medicaid: 19132511458

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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