Provider Demographics
NPI:1992259188
Name:TO LIFE INC.
Entity type:Organization
Organization Name:TO LIFE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:HOWE
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-439-5975
Mailing Address - Street 1:410 KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-3227
Mailing Address - Country:US
Mailing Address - Phone:518-439-5975
Mailing Address - Fax:518-475-9140
Practice Address - Street 1:110 SPRING ST
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-3302
Practice Address - Country:US
Practice Address - Phone:518-587-3820
Practice Address - Fax:518-587-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-05
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1320150002OtherPTAN - SUPPLIER BILLING NUMBER
NY1320150002OtherPTAN - SUPPLIER BILLING NUMBER