LIFE INC. NPI 1700418225

NPI Information

NPI: 1700418225
Provider Name: LIFE, INC.
Classification: Custodial Care Facility - 311ZA0620X
Specialization: Adult Care Home
Entity Type: Organization
Doing Business As: WILSON DDA
Address: 505 HEMPHILL ST
STANTONSBURG, NC
ZIP 27883
Phone: (919) 778-1900

Map and Directions

Get Directions

NPI Details

LIFE, INC. is an adult care home custodial care facility in Stantonsburg, 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 1700418225. The provider is registered as an organization entity type.
The provider Is Doing Business As Wilson Dda.

The provider's business location address is:

505 HEMPHILL ST
STANTONSBURG, NC
ZIP 27883-011
Phone: (919) 778-1900
Fax: (919) 778-1972

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 2/12/2020 and was last updated on 2/18/2020.

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	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	311ZA0620X	Custodial Care Facility	Adult Care Home	Yes
3	253Z00000X	In Home Supportive Care		No
4	251S00000X	Community/Behavioral Health		No

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	3408694	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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI