Healthcare Provider Details

I. General information

NPI: 1457263402
Provider Name (Legal Business Name): LIFESPIRE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24722 88TH RD
BELLEROSE NY
11426-1612
US

IV. Provider business mailing address

462 FASHION AVE FL 5
NEW YORK NY
10018-7852
US

V. Phone/Fax

Practice location:
  • Phone: 718-343-6348
  • Fax: 718-347-3491
Mailing address:
  • Phone: 121-741-0100
  • Fax: 212-320-0342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED HARUNAR RASHID
Title or Position: ASST CFO
Credential:
Phone: 212-741-0100