LIFE, INC. (NPI# 1356481220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356481220 |
| Entity Type | Organization |
| Organization Name | LIFE, INC. |
| Other Organization Name | WICKHAM ROAD FACILITY |
| Practice Address |
258 Wickham Rd Shiloh NC 27974-7222 |
| Mailing Address |
2609 Royall Ave Goldsboro NC 27534-8615 |
| Practice Telephone | 2523364142 |
| Practice Fax Number | 2523362372 |
| Mailing Telephone | 9197781900 |
| Mailing Fax Number | 9197782920 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-12-15 |
| Authorized Official Name | JAMES WALKER (DIRECTOR OF CONTRACT SERVICES) |
| 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-015-004 | NC | Transportation Services |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MHL-015-004 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7805689 | 05 |
| Other Name | Type Code |
|---|---|
| Wickham Road Facility | 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 |
| 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 |
258 WICKHAM RD |
| City | SHILOH |
| State | NC |
| Zip Code | 27974-7222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861616872 | Needham Family Care Home Inc | Assisted Living Facility | 916 Sandy Hook Rd, Shiloh, NC 27974 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1831729763 | Sarah Anne Mossa | Counselor | 1711 Saint Andrews Dr, Shiloh, IL 62269-2918 | 2020-01-20 |
| 1902447600 | Jacqueline Marie Baith | Specialist/Technologist | 99 Bricker Rd, Shiloh, OH 44878-9011 | 2019-10-03 |
| 1902465826 | Andrew Joseph Nash | Audiologist | 1179 Fortune Blvd, Shiloh, IL 62269-7377 | 2019-06-13 |
| 1336708023 | Jenna Renee Lambert | Registered Nurse | 5575 Reynolds Rd N, Shiloh, OH 44878-8847 | 2019-06-06 |
| 1982169033 | Amy C Whitlock | Chiropractor | 1231 Thouvenot Ln, Shiloh, IL 62269-7203 | 2019-02-04 |
| 1477026722 | Shiloh Medical Services, LLC | Family Medicine | 5748 State Route 13 N, Shiloh, OH 44878-8849 | 2019-01-09 |
| 1164993853 | Margaret Petry | Midwife | 1197 Fortune Blvd # 1, Shiloh, IL 62269-7377 | 2018-12-06 |
| 1891284170 | Chattahoochee Valley Home Care | In Home Supportive Care | 239 John Howard Rd, Shiloh, GA 31826-4004 | 2018-05-02 |
| Find all providers in SHILOH | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.