LIFESPAN INCORPORATED


Address: 2070 River Road, North Wilkesboro, NC 28659
Phone: 7049445100

LIFESPAN INCORPORATED (NPI# 1639696941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639696941
Entity Type Organization
Organization Name LIFESPAN INCORPORATED
Practice Address 2070 River Road
North Wilkesboro
NC 28659
Mailing Address 1511 Shopton Rd Ste A
Charlotte
NC 28217-3240
Practice Telephone 7049445100
Enumeration Date 2017-08-28
Last Update Date 2017-08-28
Authorized Official Name ROBIN DEVORE (VP CORPORATE COMPLIANCE)
Authorized Official Telephone 7049445100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 097-078 NC Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 3408802 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144717018 Lifespan Incorporated Community/Behavioral Health 3529 Hatwynn Rd, Charlotte, NC 28269-1329 2018-04-17
1851888721 Lifespan Incorporated Community/Behavioral Health 4322 Fairview Rd, Andrews, NC 28901-8114 2018-04-17
1316434285 Lifespan Incorporated Community/Behavioral Health 944 Nc Highway 141, Murphy, NC 28906-6878 2018-04-17
1811484884 Lifespan Incorporated Community/Behavioral Health 264 Lillie Ln, Canton, NC 28716-7900 2018-04-16
1770007213 Lifespan Incorporated Community/Behavioral Health 532 Pleasant Valley Rd, Murphy, NC 28906-2501 2017-07-26
1144683210 Lifespan Incorporated Community/Behavioral Health 14020 Us 19, Andrews, NC 28901-8005 2016-04-05
1770070740 Lifespan Incorporated Community/Behavioral Health 78 Market St, Maggie Valley, NC 28751-8594 2018-04-16

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities LIFESPAN INCORPORATED 1511 Shopton Rd Ste A, Charlotte, NC 28217-3240

Office Location

Street Address 2070 RIVER ROAD
City NORTH WILKESBORO
State NC
Zip Code 28659

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013579689 Lisa C Carr Social Worker 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 2019-07-03
1780141507 Brenda Barber Counselor 200 Northview Plaza, North Wilkesboro, NC 28659 2019-02-28
1184146011 Daymark Recovery Services Inc Community/Behavioral Health 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 2017-07-12
1033568258 Rgm Al Holdings, LLC Assisted Living Facility 240 Independence Ave, North Wilkesboro, NC 28659 2016-06-08
1376997999 Hayden Church Driver 29 Boone Trail, North Wilkesboro, NC 28659 2016-04-20
1033563192 Nathan Grant Davis Emergency Medicine Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 2016-04-14
1720425408 Lindsay Brooke Spears Dentist 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 2013-06-04
1881983419 Pruitthealth Hospice, Inc. Hospice Care, Community Based 902 West D St, Ste B, North Wilkesboro, NC 28659 2011-04-05
1275838096 Barium Springs Home for Children Community Based Residential Treatment Facility, Mental Illness 517 Boston Ave, North Wilkesboro, NC 28659 2011-01-26
1801106950 Clara Loiuse Watts Massage Therapist 915 Main St., Suite 201, North Wilkesboro, NC 28659 2010-10-07
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184146011 Daymark Recovery Services Inc Community/Behavioral Health 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 2017-07-12
1043631161 Rha Health Services Nc, LLC Community/Behavioral Health 2551 Highway 268 East, North Wilkesboro, NC 28659-0000 2013-12-16
1043531445 Barium Springs Freedom Academy Community/Behavioral Health 2776 Yellow Banks Rd, North Wilkesboro, NC 28659-8861 2010-06-20
1538391727 Direct Interventions Support Services LLC Community/Behavioral Health 211 Massachusettes Ave., North Wilkesboro, NC 28659 2009-08-20
1427186105 Lawson Support Services, LLC Community/Behavioral Health 723 Main Street, North Wilkesboro, NC 28659-4211 2007-03-02
1821100942 Life Alliance, LLC Community/Behavioral Health 907 Sparta Road, North Wilkesboro, NC 28659 2006-08-31
1891116919 Rha Health Services Nc, LLC Community/Behavioral Health 113 Hackett St, North Wilkesboro, NC 28659-3266 2013-12-16
1255752374 Rha Health Services Nc, LLC Community/Behavioral Health 77 Sparta Rd, North Wilkesboro, NC 28659-3133 2013-12-16
1952532590 Lawson Support Services, LLC Community/Behavioral Health 723 Main Street, North Wilkesboro, NC 28659-4211 2009-07-30
1225270945 Lawson Support Services Community/Behavioral Health 723 Main Street, North Wilkesboro, NC 28659-4211 2009-03-26
Find all providers in NORTH WILKESBORO

Competitor

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City NORTH WILKESBORO
Zip Code 28659

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Dataset Information

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.

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