LIFE, INC. (NPI# 1366958902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366958902 |
| Entity Type | Organization |
| Organization Name | LIFE, INC. |
| Other Organization Name | HALIFAX CO. DAY PROGRAM |
| Practice Address |
706 S Mcdaniel St Enfield NC 27823-1757 |
| Mailing Address |
2609 Royall Ave Goldsboro NC 27534-8615 |
| Practice Telephone | 2524451590 |
| Practice Fax Number | 2524451592 |
| Mailing Telephone | 9197781900 |
| Mailing Fax Number | 9197781972 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| 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-042-067 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408694 | 05 |
| Other Name | Type Code |
|---|---|
| Halifax Co. 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 |
| 1023524345 | Life, Inc. | Community/Behavioral Health | 117j Village Rd Ne, Leland, NC 28451-7413 | 2017-12-22 |
| 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 |
706 S MCDANIEL ST |
| City | ENFIELD |
| State | NC |
| Zip Code | 27823-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548512346 | Nicky Miqueal Silver | Counselor | 14495 Hwy 301 N, Enfield, NC 27823 | 2012-10-04 |
| 1689934077 | Supreme Teens, L&c | Counselor | 14495 Hwy 301 N., Enfield, NC 27823 | 2012-05-21 |
| 1598836298 | Dixie Rest Home 2 | Assisted Living Facility | 311 East Bryant Street, Enfield, NC 27823 | 2006-11-13 |
| 1417028135 | Dixie Rest Home 1 | Assisted Living Facility | 310 North Martin Luther King Avenue, Enfield, NC 27823 | 2006-11-13 |
| 1144351503 | Halifax Medical Services, Inc | Clinic/Center | 114 Market St, Enfield, NC 27823-0339 | 2007-03-08 |
| 1568516235 | Life, Inc. | Intermediate Care Facility, Mentally Retarded | 214 Mcfarland Rd, Enfield, NC 27823-1128 | 2007-01-22 |
| 1821024274 | Eagle Peak Ltc Group, LLC | Skilled Nursing Facility | 208 Cary St, Enfield, NC 27823-1204 | 2006-06-25 |
| 1326206061 | Janet W. Harper | Physical Therapy Assistant | 208 Cary St, Enfield, NC 27823-1204 | 2008-05-29 |
| 1912165648 | Frank S Harper | Physical Therapist | 208 Cary St, Enfield, NC 27823-1204 | 2008-05-29 |
| 1326235755 | Enfield Care, Inc. | Nursing Facility/Intermediate Care Facility | 208 Cary St, Enfield, NC 27823-1204 | 2007-10-01 |
| Find all providers in zip 27823 | ||||
| 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] |
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|---|---|---|---|---|
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| 1609019678 | New Hope Family and Youth Services, LLC | Community/Behavioral Health | 102 S. West Railroad St., Enfield, NC 27823-1300 | 2009-04-07 |
| 1538536776 | New Directions Inc. | Community/Behavioral Health | 113 Elm St Ste 204, Enfield, CT 06082-3739 | 2015-08-24 |
| 1205212172 | Jennifer Root, LLC | Community/Behavioral Health | 139 Hazard Ave, Building 2/unit 8, Enfield, CT 06082-4585 | 2015-08-03 |
| 1336588607 | Growing Potential Services:therapeutic and Behavioral Solutions, PC | Community/Behavioral Health | 25 High St, Enfield, CT 06082 | 2013-06-20 |
| 1336485812 | Interlocking Connections, LLC | Community/Behavioral Health | 707 Enfield St, Enfield, CT 06082-2903 | 2013-01-02 |
| 1699966846 | Specialized Counseling Services LLC | Community/Behavioral Health | 54 Hazard Ave, Ste 262, Enfield, CT 06082-3845 | 2007-08-05 |
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| 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 |
| 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.