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LIFE INC. NPI 1053451765


NPI Information

NPI: 1053451765
Provider Name: LIFE, INC.

Doing Business As: THE SCOTT HOUSE

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
801 2ND ST
ELIZABETH CITY, NC
ZIP 27909
Phone: (919) 734-4386
Get Directions

LIFE, INC. is an adult care home custodial care facility in Elizabeth City, NC. The provider is 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. LIFE, INC. NPI is 1053451765. The provider is registered as an organization entity type.
The provider Is Doing Business As The Scott House.

The provider's business location address is:

801 2ND ST
ELIZABETH CITY, NC
ZIP 27909-627
Phone: (919) 734-4386

The provider's authorized official is Richard Lynn Smith .
The authorized official title is Vp Of Business Operations and has the following contact phone number (919) 778-1900.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 1/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeMHL-070-041NORTH CAROLINAYes
2343900000XNon-emergency Medical Transport (VAN)MHL-070-041NORTH CAROLINANo
3251S00000XCommunity/Behavioral HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17805692MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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