LIFE INC. NPI 1326192873

NPI Information

NPI: 1326192873
Provider Name: LIFE, INC.

Doing Business As: LIFE, INC./LAVENHAM GROUP HOME

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
3700 LAVENHAM RD
NEW BERN, NC
ZIP 28562
Phone: (252) 633-5559
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LIFE, INC. is an intermediate care facility mentally retarded in New Bern, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LIFE, INC. NPI is 1326192873. The provider is registered as an organization entity type.
The provider Is Doing Business As Life, Inc./lavenham Group Home.

The provider's business location address is:

3700 LAVENHAM RD
NEW BERN, NC
ZIP 28562-105
Phone: (252) 633-5559
Fax: (252) 636-1725

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 1/22/2007 and was last updated on 12/15/2017.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		MHL-025-014	NORTH CAROLINA	Yes

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
1	922110	OTHER	NORTH CAROLINA	STATE FACILITY ID
2	3406440	MEDICAID	NORTH 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: 4/28/2024

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