LIFESPAN INCORPORATED (NPI# 1639696941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 097-078 | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 3408802 | 05 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LIFESPAN INCORPORATED | 1511 Shopton Rd Ste A, Charlotte, NC 28217-3240 |
Street Address |
2070 RIVER ROAD |
City | NORTH WILKESBORO |
State | NC |
Zip Code | 28659 |
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 |
Find all providers in zip 28659 |
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 |
---|---|---|---|---|
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 |
City | NORTH WILKESBORO |
Zip Code | 28659 |
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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.