LIFESPAN INC (NPI# 1942745005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942745005 |
| Entity Type | Organization |
| Organization Name | LIFESPAN INC |
| Practice Address |
31 James St Brevard NC 28712-3779 |
| Mailing Address |
1511 Shopton Rd Suite A Charlotte NC 28217-3239 |
| Practice Telephone | 7049445100 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |
| Authorized Official Name | ROBIN DEVORE (VP CORPORATE COMPLIANCE AND PROGRAM) |
| Authorized Official Telephone | 7049445100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL088036 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700323094 | Lifespan Inc | Community/Behavioral Health | 7533 Farm Gate Dr, Charlotte, NC 28215-3659 | 2017-01-24 |
| 1295272672 | Lifespan Inc | Community/Behavioral Health | 6716 Woodthrush Dr, Charlotte, NC 28227-1059 | 2017-01-24 |
| 1467999763 | Lifespan Inc | Community/Behavioral Health | 7609 Linda Lake Dr, Charlotte, NC 28215-2825 | 2017-01-24 |
| 1902342173 | Lifespan Inc | Community/Behavioral Health | 5009 Banfshire Rd, Charlotte, NC 28215-2066 | 2017-01-12 |
| 1477099752 | Lifespan Inc | Community/Behavioral Health | 4806 Farm Pond Ln, Charlotte, NC 28212-8558 | 2017-01-11 |
| 1245776533 | Lifespan Inc | Community/Behavioral Health | 6123 Woodthrush Dr, Charlotte, NC 28227-1027 | 2017-01-11 |
| 1548890346 | Lifespan Inc | Community/Behavioral Health | 1669 Hendrix Rd, Murphy, NC 28906-3664 | 2020-01-21 |
| 1043858590 | Lifespan Inc | Community/Behavioral Health | 5 Oak St, Asheville, NC 28801-3003 | 2019-12-16 |
| 1659912806 | Lifespan Inc | Community/Behavioral Health | 5 Oak St, Asheville, NC 28801-3003 | 2019-09-30 |
| 1538603881 | Lifespan Inc | Community/Behavioral Health | 318 Primrose Ln, Hendersonville, NC 28739-4686 | 2016-12-06 |
| 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 |
31 JAMES ST |
| City | BREVARD |
| State | NC |
| Zip Code | 28712-3779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700922762 | Easter Seals Ucp North Carolina | Custodial Care Facility | 31 James St, Brevard, NC 28712-3779 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351152 | Kelley Strom | Occupational Therapist | 835 Wolf Pen Cove Road, Brevard, NC 28712 | 2017-08-11 |
| 1568909232 | Christina Faye Jachens | Counselor | 39 East Jordan Street, Brevard, NC 28712 | 2017-01-19 |
| 1922446947 | Allcare Clinical Associates, Pa | Anesthesiology | 89c Hospital Drive, Brevard, NC 28712 | 2013-06-12 |
| 1265742852 | Loftis Home Medical LLC | Durable Medical Equipment & Medical Supplies | 181 Rosman Hwy, Brevard, NC 28712 | 2010-10-15 |
| 1407164395 | United Rehab Inc. | Clinic/Center | 300 Morris Road, Brevard, NC 28712 | 2010-09-14 |
| 1083931851 | Polly Mitchiner-senecal | Pharmacist | 382 Asheville Highway, Brevard, NC 28712 | 2010-05-03 |
| 1891029682 | Douglas Carl Harris | Pharmacist | 382 Asheville Hwy., Brevard, NC 28712 | 2009-09-25 |
| 1386828770 | Academy of The Sierras | Residential Treatment Facility, Physical Disabilities | 1 Lambs Creek Rd, Brevard, NC 28712 | 2007-12-21 |
| 1215117619 | Kimberly Lynn Marchisin | Orthotic Fitter | 10 E Jordan St West, Brevard, NC 28712 | 2007-11-14 |
| 1841482700 | Transylvania County Dss | Public Health or Welfare | 106 E Morgan Street, Brevard, NC 28712 | 2007-08-15 |
| Find all providers in zip 28712 | ||||
| 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 |
|---|---|---|---|---|
| 1235621673 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 1076 Ecusta Rd, Brevard, NC 28712-7581 | 2018-06-01 |
| 1194229203 | Mindful Purpose Counseling Pllc | Community/Behavioral Health | 196 Whitmire St, Brevard, NC 28712-4498 | 2018-03-22 |
| 1275907610 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 399 Greenville Hwy, Brevard, NC 28712-4792 | 2015-11-23 |
| 1932485174 | National Mentor Healthcare LLC | Community/Behavioral Health | 400 Fisher Rd, Brevard, NC 28712-3895 | 2011-11-02 |
| 1588940720 | National Mentor Healthcare LLC | Community/Behavioral Health | 601 Greenville Hwy, Brevard, NC 28712-9414 | 2011-11-02 |
| 1518246420 | Families Together, Inc | Community/Behavioral Health | 1910a Asheville Hwy, Brevard, NC 28712-7763 | 2011-08-09 |
| 1760701874 | Families Together, Inc. | Community/Behavioral Health | 601 Greenville Highway, Brevard, NC 28712-9414 | 2010-05-28 |
| 1164751988 | Families Together, Inc. | Community/Behavioral Health | 400 Fisher Road, Brevard, NC 28712-3895 | 2009-12-08 |
| 1760619738 | Southeastern United Care,llc | Community/Behavioral Health | 703 N Broad St, Brevard, NC 28712-3101 | 2009-06-17 |
| 1154509438 | Families Together Inc | Community/Behavioral Health | 107 S. Johnson Street, Brevard, NC 28712-3000 | 2008-02-08 |
| Find all providers in BREVARD | ||||
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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.