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Lifeline Center for Child Development

NPI 1164033130ActiveOrganization· Case Manager/Care Coordinator· Queens Village, NY

Case Manager/Care Coordinator in Queens Village, New York, registered in NPPES in August 2020. The authorized official on file is Tanya Simon, Executive Director.

Overview

NPI1164033130
StatusActive
Entity typeOrganization
NPI issuedAug 13, 2020
Last updated in NPPESAug 13, 2020
Certified by providerAug 13, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary171M00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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