LIFE, INC. (NPI# 1316091770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316091770 |
| Entity Type | Organization |
| Organization Name | LIFE, INC. |
| Practice Address |
77 Edgewood Dr Chocowinity NC 27817-8286 |
| Mailing Address |
Po Box 1507 Washington NC 27889-1507 |
| Practice Telephone | 2529756468 |
| Practice Fax Number | 2529741211 |
| Mailing Telephone | 2529742600 |
| Mailing Fax Number | 2529741211 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-12-15 |
| 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 | 315P00000X | Intermediate Care Facility, Mentally Retarded | MHL-007-006 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406226 | 05 | |
| NC | STATE FACILITY ID | 921798 | 01 |
| 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 |
77 EDGEWOOD DR |
| City | CHOCOWINITY |
| State | NC |
| Zip Code | 27817-8286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255858585 | Angels Care Home Health Inc | Home Health | 169 Peed Rd, Chocowinity, NC 27817 | 2017-08-28 |
| 1396281515 | Ajstaxi | Non-emergency Medical Transport (VAN) | 77 Mary Street, Chocowinty, NC 27817 | 2017-01-11 |
| 1265880983 | Moore's Cab Inc | Non-emergency Medical Transport (VAN) | 52 Frankie St, Chocowinity, NC 27817 | 2016-06-03 |
| 1518369727 | Niadra Blount Pratt | Counselor | 51 Nc Hwy 33 West, Chocowinity, NC 27817 | 2014-09-18 |
| 1316357551 | Colin Paul Smith | Family Medicine | 470 Bragaw Ln, Chocowinity, NC 27817 | 2014-04-28 |
| 1104076835 | Shannon Courtney Whitehurst | Chiropractor | 103 Bernard Court, Chocowinity, NC 27817 | 2008-09-30 |
| 1023135563 | Anette C Roberts | Durable Medical Equipment & Medical Supplies | 633 Hwy 33 East, Chocowinity, NC 27817 | 2007-03-22 |
| 1710085691 | Chocowinity Pharmacy Inc | Pharmacy | 685 Hwy 33 East, Chocowinity, NC 27817 | 2006-09-21 |
| 1508809724 | Angie S. Rhodes | Dentist | 685a N.c. Hwy. 33 East, Chocowinity, NC 27817 | 2006-06-14 |
| 1841818275 | Chocowinity Pharmacy Inc | Pharmacy | 633 Hwy 33 East, Chocowinity, NC 27817 | 2020-07-13 |
| Find all providers in zip 27817 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285788026 | Life, Inc. | Intermediate Care Facility, Mentally Retarded | 1383 Dixon Rd, Chocowinity, NC 27817-9275 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702937 | Gha Autism Supports | Intermediate Care Facility, Mentally Retarded | 44012 Morrow Mountain Rd, Albemarle, NC 28001-8616 | 2020-05-21 |
| 1811517774 | Educare Community Living Corporation-north Carolina | Intermediate Care Facility, Mentally Retarded | 834 Tyvola Rd Ste 116, Charlotte, NC 28217-3542 | 2020-04-21 |
| 1598125460 | Rha Health Services Nc LLC | Intermediate Care Facility, Mentally Retarded | 410 N Mineral Springs Rd, Durham, NC 27703-3618 | 2016-03-04 |
| 1023478294 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 619 Ray Ave, Hendersonville, NC 28792-2668 | 2016-03-02 |
| 1740649417 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 310 Locust Street, West Jefferson, NC 28694 | 2016-02-23 |
| 1841655453 | Journeys Healthcare | Intermediate Care Facility, Mentally Retarded | 515 Carver Moore Rd, Lake Waccamaw, NC 28450-9713 | 2015-12-24 |
| 1326414665 | Rha North Carolina Mr, Inc. | Intermediate Care Facility, Mentally Retarded | 1388 Lewis Fork Baptist Ch Rd, Ferguson, NC 28624-9080 | 2015-08-20 |
| 1609299916 | Rha Health Services Nc, LLC | Intermediate Care Facility, Mentally Retarded | 1802 Strickland Bridge Rd, Fayetteville, NC 28304-5739 | 2014-01-23 |
| 1861822314 | Voca Corporation of North Carolina | Intermediate Care Facility, Mentally Retarded | 4109 Enoch Dr, Charlotte, NC 28269-2578 | 2013-11-20 |
| 1902144314 | Rouse's Group Home Inc | Intermediate Care Facility, Mentally Retarded | 5820 Nc 135, Stoneville, NC 27048-8478 | 2013-01-18 |
| Find all providers with the same taxonomy | ||||
| City | CHOCOWINITY |
| Zip Code | 27817 |
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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.