LIFESPAN INCORPORATED NPI 1144683210

NPI Information

  • NPI: 1144683210
  • Provider Name: LIFESPAN INCORPORATED
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 27 BONA VISTA DR
    MARBLE, NC
    ZIP 28905
  • Phone: (828) 321-9992

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NPI Details

LIFESPAN INCORPORATED is a community behavioral health in Marble, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. LIFESPAN INCORPORATED NPI is 1144683210. The provider is registered as an organization entity type.

The provider's business location address is:

27 BONA VISTA DR
MARBLE, NC
ZIP 28905-646
Phone: (828) 321-9992

The provider's authorized official is Robin Devore .
The authorized official title is Vp Corporate Compliance/program Ops and has the following contact phone number (704) 944-5136.

The enumeration date for this NPI number is 4/5/2016 and was last updated on 1/26/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthMHL-020-071NORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020-071MEDICAIDNORTH 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: 3/30/2025

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