LIFE, INC. (NPI# 1376059501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376059501 |
| Entity Type | Organization |
| Organization Name | LIFE, INC. |
| Other Organization Name | EDENTON DAY PROGRAM |
| Practice Address |
701 N Broad St Ste D Edenton NC 27932-1462 |
| Mailing Address |
Po Box 70 Edenton NC 27932-0070 |
| Practice Telephone | 2524828666 |
| Mailing Telephone | 2524828666 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| 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 |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | MHL-021-009 | NC | Agencies |
| Y | 251S00000X | Community/Behavioral Health | MHL-021-009 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408694 | 05 |
| Other Name | Type Code |
|---|---|
| Edenton Day Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
701 N BROAD ST STE D |
| City | EDENTON |
| State | NC |
| Zip Code | 27932-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598002172 | Ashley Nicole Brooke Miller | Counselor | 1255 Haughton Road, Edenton, NC 27932 | 2013-01-15 |
| 1629365341 | Columbia Chiropractic Center PC | Chiropractor | 187 La Keiser Dr, Columbia, NC 27932 | 2011-07-01 |
| 1760682579 | Edenton House, LLC | Assisted Living Facility | 323 Medical Arts Drive, Edenton, NC 27932 | 2007-07-19 |
| 1801913975 | Coastal Rehabilitation Inc | Physical Therapist | 701 Luke Street, Edenton, NC 27932 | 2007-03-23 |
| 1225164734 | Paul Stephen Richmond | Dentist | 410 N Broad Street, Edenton, NC 27932 | 2007-02-26 |
| 1003960816 | Albemarle Mental Health Center | Social Worker | 202 W Hicks Street, Edenton, NC 27932 | 2007-01-22 |
| 1679642532 | Womens Health of Edenton PC | Obstetrics & Gynecology | 309 N Broad Street, Edenton, NC 27932 | 2006-11-07 |
| 1184713505 | Jerry L Bradley | Dentist | 512 Coke Avenue, Edenton, NC 27932 | 2006-10-12 |
| 1457454126 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1316 H N Broad St, Edenton, NC 27932 | 2006-09-07 |
| 1972613321 | Joel Crist Reynolds | Urology | 210 N Broad St, Edenton Urology Clinic, Edenton, NC 27932 | 2006-08-30 |
| Find all providers in zip 27932 | ||||
| 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 |
|---|---|---|---|---|
| 1467890830 | Monarch | Community/Behavioral Health | 101 W Eden St, Edenton, NC 27932-1843 | 2013-06-07 |
| 1316223993 | Onecare Inc | Community/Behavioral Health | 708 N Broad St, Edenton, NC 27932-1405 | 2011-10-27 |
| 1801123401 | Cnc/access Inc. | Community/Behavioral Health | 220 E Queen St, Edenton, NC 27932-1948 | 2009-11-03 |
| 1891926820 | Another Opportunity Rehabilitation Services, LLC | Community/Behavioral Health | 108 E King St, Edenton, NC 27932-1956 | 2009-08-08 |
| 1245474394 | Cnc/access, Inc. | Community/Behavioral Health | 709 N Broad St, Edenton, NC 27932-1430 | 2009-04-20 |
| 1932341336 | Rachel's House | Community/Behavioral Health | 103 E King St, Suite B, Edenton, NC 27932-1957 | 2009-03-31 |
| 1407082886 | Faith Counseling and Clinical Consultation Services, Pllc | Community/Behavioral Health | 103 E King St, Edenton, NC 27932-1957 | 2009-05-30 |
| 1083858898 | Cnc/access, Inc. | Community/Behavioral Health | 709 N Broad St, Edenton, NC 27932-1430 | 2009-04-23 |
| 1891939609 | Cnc/access, Inc. | Community/Behavioral Health | 709 N Broad St, Edenton, NC 27932-1430 | 2009-04-23 |
| 1740424555 | Cnc/access, Inc. | Community/Behavioral Health | 709 N Broad St, Edenton, NC 27932-1430 | 2009-04-23 |
| Find all providers in EDENTON | ||||
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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.