LIFE, INC. (NPI# 1053451765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053451765 |
| Entity Type | Organization |
| Organization Name | LIFE, INC. |
| Other Organization Name | THE SCOTT HOUSE |
| Practice Address |
801 2nd St Elizabeth City NC 27909-3627 |
| Mailing Address |
2609 Royall Ave Goldsboro NC 27534-8615 |
| Practice Telephone | 9197344386 |
| Mailing Telephone | 9197781900 |
| Mailing Fax Number | 9197782920 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | MR. 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 |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | MHL-070-041 | NC | Transportation Services |
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-070-041 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805692 | 05 |
| Other Name | Type Code |
|---|---|
| The Scott House | 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 |
| 1023524345 | Life, Inc. | Community/Behavioral Health | 117j Village Rd Ne, Leland, NC 28451-7413 | 2017-12-22 |
| 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 |
| 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 |
801 2ND ST |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912047119 | Life, Inc. | In Home Supportive Care | 801 2nd St, Elizabeth City, NC 27909-3627 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1558779298 | Wilkiam Wilson | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909 | 2014-07-25 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821159278 | Benjamin House, Inc. | Custodial Care Facility | 848 Forest Park Road, Elizabeth City, NC 27909-5461 | 2006-12-12 |
| 1467834283 | Carolina Care and Management LLC | Custodial Care Facility | 143 Rosedale Dr, Elizabeth City, NC 27909-9810 | 2015-06-29 |
| 1114126224 | Albemarle Senior Living Inc. | Custodial Care Facility | 143 Rosedale Dr, Elizabeth City, NC 27909-9810 | 2007-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162061 | Lewis E Williams | Custodial Care Facility | 1640 Bridgedale Dr, Rocky Mount, NC 27803-1604 | 2020-10-26 |
| 1861008583 | Arbor Landing At Hampstead LLC | Custodial Care Facility | 13937 Us Highway 17, Hampstead, NC 28443-4041 | 2020-09-17 |
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1740804111 | Happy Hearts Group Home | Custodial Care Facility | 6255 Burlington Rd, Gibsonville, NC 27249-8783 | 2020-06-02 |
| 1730703422 | Graham 4 Enterprises | Custodial Care Facility | 3006 W Sedgefield Dr, Greensboro, NC 27407-7313 | 2020-05-29 |
| 1477177111 | C&s Adult Care LLC, Dba Deal Care Inn | Custodial Care Facility | 1075 Deal Rd, Mooresville, NC 28115-6719 | 2020-05-28 |
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1356975767 | Cornerstone Community Service | Custodial Care Facility | 2220 Southgate St, Durham, NC 27703-2102 | 2020-02-24 |
| 1477184653 | Rose Vista Assisted Living, LLC | Custodial Care Facility | 2130 Rose Vista Rd, Kinston, NC 28504-8230 | 2020-01-28 |
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
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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.