LIFE, INC. (NPI# 1700418225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700418225 |
| Entity Type | Organization |
| Organization Name | LIFE, INC. |
| Other Organization Name | WILSON DDA |
| Practice Address |
505 Hemphill St Stantonsburg NC 27883-9011 |
| Mailing Address |
2609 Royall Ave Goldsboro NC 27534-8615 |
| Practice Telephone | 9197781900 |
| Practice Fax Number | 9197781972 |
| Mailing Telephone | 9197781900 |
| Mailing Fax Number | 9197781972 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | RICHARD LYNN SMITH (VP OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 9197781900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408694 | 05 |
| Other Name | Type Code |
|---|---|
| WILSON DDA | 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 |
| 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 |
| 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 |
505 HEMPHILL ST |
| City | STANTONSBURG |
| State | NC |
| Zip Code | 27883-9011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225459308 | Easter Seals Ucp North Carolina & Virginia Inc. | Assisted Living Facility | 505 Hemphill St, Stantonsburg, NC 27883-9011 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770607384 | Virginia Dare Behavorial Health Services Inc. | Preferred Provider Organization | 367 Lane Road, Stantonsburg, NC 27883 | 2007-03-19 |
| 1518945732 | Mary A Clark | Nurse Practitioner | 312 South Main St, Stantonsburg, NC 27883 | 2006-01-06 |
| 1992782643 | Stantonsburg Drug Company, Inc | Pharmacy | 105 South Main Street, Stantonsburg, NC 27883-0040 | 2005-12-23 |
| 1730189119 | Armie Rowland Strickland Jr. | Pharmacist | 105 South Main St, Stantonsburg, NC 27883-0040 | 2005-07-27 |
| 1346396041 | Stantonsburg Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 105 S Main St, Stantonsburg, NC 27883-0040 | 2007-01-26 |
| 1902932478 | Wilson Medical Center, Inc. | Family Medicine | 312 South Main Street, Stantonsburg, NC 27883-0400 | 2007-02-26 |
| 1356580088 | Carrie's Family Care Home | Custodial Care Facility | 1025 Pope Farm Rd, Stantonsburg, NC 27883-8525 | 2009-02-19 |
| 1609906288 | Edwards Group Home 4 | Community Based Residential Treatment Facility, Mental Illness | 1269 Apple Tree Rd, Stantonsburg, NC 27883-9039 | 2007-03-06 |
| 1831596535 | Circle of Love Family Care Home LLC. | Custodial Care Facility | 6604 Hwy 264 East Alt., Stantonsburg, NC 27883-9203 | 2014-11-24 |
| 1033738869 | Melody Meeks Flannery | Counselor | 6226 Holdens Cross Rd, Stantonsburg, NC 27883-9317 | 2020-04-12 |
| Find all providers in zip 27883 | ||||
| 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 |
|---|---|---|---|---|
| 1831596535 | Circle of Love Family Care Home LLC. | Custodial Care Facility | 6604 Hwy 264 East Alt., Stantonsburg, NC 27883-9203 | 2014-11-24 |
| 1356580088 | Carrie's Family Care Home | Custodial Care Facility | 1025 Pope Farm Rd, Stantonsburg, NC 27883-8525 | 2009-02-19 |
| 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 | ||||
| City | STANTONSBURG |
| Zip Code | 27883 |
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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.