LIFE, INC. (NPI# 1023524345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023524345 |
Entity Type | Organization |
Organization Name | LIFE, INC. |
Other Organization Name | LIFE, INC./LELAND DAY PROGRAM |
Practice Address |
117j Village Rd Ne Leland NC 28451-7413 |
Practice Telephone | 9103710230 |
Mailing Telephone | 9103710230 |
Enumeration Date | 2017-12-22 |
Last Update Date | 2017-12-22 |
Authorized Official Name | RICHARD LYNN SMITH (VP OF BUSINESS OPERATIONS) |
Authorized Official Telephone | 9197781900 |
Is Organization Subpart | Y |
Parent Organization Name | LIFE, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | MHL-010-064 | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3408694 | 05 |
Other Name | Type Code |
---|---|
Life, Inc./Leland Day Program | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376059501 | Life, Inc. | Day Training, Developmentally Disabled Services | 701 N Broad St Ste D, Edenton, NC 27932-1462 | 2017-12-26 |
1366958902 | Life, Inc. | Community/Behavioral Health | 706 S Mcdaniel St, Enfield, NC 27823-1757 | 2017-12-19 |
1760522478 | Life, Inc. | Non-emergency Medical Transport (VAN) | 200 Luke St, Edenton, NC 27932-9614 | 2007-02-08 |
1902946882 | Life, Inc. | Non-emergency Medical Transport (VAN) | 139 Barnard Rd, Grandy, NC 27939-9629 | 2007-02-08 |
1356481220 | Life, Inc. | Non-emergency Medical Transport (VAN) | 258 Wickham Rd, Shiloh, NC 27974-7222 | 2007-02-08 |
1518007483 | Life, Inc. | Non-emergency Medical Transport (VAN) | 185 Roanoke Trl, Manteo, NC 27954-9598 | 2007-02-08 |
1851431704 | Life, Inc. | In Home Supportive Care | 2609 Royall Ave, Goldsboro, NC 27534-8615 | 2007-02-08 |
1134260797 | Life, Inc. | Non-emergency Medical Transport (VAN) | 700 Georgia Ave, Roanoke Rapids, NC 27870-3115 | 2007-02-08 |
1962542837 | Life, Inc. | Non-emergency Medical Transport (VAN) | 142 Riverwood Dr, Hertford, NC 27944-9784 | 2007-02-08 |
1639219488 | Life, Inc. | Community/Behavioral Health | 1829 Carolina Ave, Washington, NC 27889-3369 | 2007-02-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Life, Inc | 1800 E. Stanford Ave, Cherry Hills Village, CO 80113 |
New York State Corporations | LIFE, INC. | 1986 Spafford Road, Phelps, Ny 14532 |
Street Address |
117J VILLAGE RD NE |
City | LELAND |
State | NC |
Zip Code | 28451-7413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
1205389517 | Total Renal Care of North Carolina LLC | Clinic/Center | 1220 Magnolia Village Way, Leland, NC 28451 | 2016-08-03 |
1043696800 | William Sanders Sr. | Respite Care | 3043 Ramble Dr, Leland, NC 28451 | 2015-08-04 |
1457730707 | Devinn L Geeson | Dentist | 1215 Westgate Drive, Suite 180, Leland, NC 28451 | 2015-05-20 |
1740611706 | Mark C. Austin Omfs, Pllc | Oral & Maxillofacial Surgery | 2001 South Baxter Drive, Leland, NC 28451 | 2013-12-02 |
1750711123 | Donna Rose Hodnicki | Nurse Practitioner | 1132 East Cutler Crossing, Leland, NC 28451 | 2013-11-20 |
1992137996 | Abbey Jones Mcclanahan | Physical Therapist | 1003 Olde Waterford Way # B, Leland, NC 28451 | 2013-08-01 |
1306010780 | Walter B. Futch, Jr. Dds Pa | Dentist | 1006 Northgate Drive, Leland, NC 28451 | 2008-04-17 |
1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
1396930137 | F.a.c. Group Homes, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9485 Huckabee Ct, Leland, NC 28451 | 2007-09-13 |
Find all providers in zip 28451 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871728196 | Access Nc | Community/Behavioral Health | 171 Old Fayetteville Rd, Leland, NC 28451-8275 | 2009-05-17 |
1912141219 | Word of Life Ourtreach of Cape Fear, Inc. | Community/Behavioral Health | 10241 Blackwell Rd Se, Leland, NC 28451-8515 | 2009-04-30 |
1932363702 | Arise Community Services, LLC | Community/Behavioral Health | 1102 Cloverfield Ct, Leland, NC 28451-7012 | 2008-07-10 |
1275926008 | Sea Hope Education & Wellness Centers Inc | Community/Behavioral Health | 509 Olde Waterford Way, Suite 305, Leland, NC 28451-4125 | 2015-03-18 |
1184928152 | Word of Life Outreach of Cape Fear, Inc | Community/Behavioral Health | 10225 Blackwell Rd Se, Leland, NC 28451-8515 | 2011-01-05 |
1003042904 | Word of Life Outreach of Cape Fear, Inc. | Community/Behavioral Health | 10225 Blackwell Rd Se, Leland, NC 28451-8515 | 2009-06-05 |
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1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.