Provider Demographics
NPI:1568268803
Name:LIFELONG LEARNERS ACADEMY LLC
Entity type:Organization
Organization Name:LIFELONG LEARNERS ACADEMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDE
Authorized Official - Middle Name:SARNIA
Authorized Official - Last Name:COLLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-478-1688
Mailing Address - Street 1:15310 AMBERLY DR STE 250
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1642
Mailing Address - Country:US
Mailing Address - Phone:201-478-1688
Mailing Address - Fax:727-499-6497
Practice Address - Street 1:2724 CONCH HOLLOW DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-7348
Practice Address - Country:US
Practice Address - Phone:201-478-1688
Practice Address - Fax:727-499-6497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No273Y00000XHospital UnitsRehabilitation Unit
No332U00000XSuppliersHome Delivered Meals
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child