OrganizationActive
Life'S Worc
NPI 1497893580 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jamaica, NY
Provider details
- NPI number
- 1497893580
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Nydia Carrion, Chief Financial Officer(516) 741-9000
- License
- 7075470 (NY)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 7075470 (NY)
Residential Treatment Facilities
Practice location
17506 Linden Blvd
Jamaica, NY 11434-1421
Phone: (718) 526-7463
Fax: (718) 526-0516
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Franklin Ave
Garden City, NY 11553-8165
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.