LIFE INC. NPI 1760536122

NPI Information

NPI: 1760536122
Provider Name: LIFE, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Doing Business As: LIFE, INC./NINE FOOT ROAD GROUP HOME
Address: 1229 NINE FOOT RD
NEWPORT, NC
ZIP 28570
Phone: (252) 223-3774

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NPI Details

LIFE, INC. is an intermediate care facility mentally retarded in Newport, NC. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. LIFE, INC. NPI is 1760536122. The provider is registered as an organization entity type.
The provider Is Doing Business As Life, Inc./nine Foot Road Group Home.

The provider's business location address is:

1229 NINE FOOT RD
NEWPORT, NC
ZIP 28570-017
Phone: (252) 223-3774
Fax: (252) 223-4053

The provider's authorized official is Richard Lynn Smith .
The authorized official title is Senior Vice President/cfo and has the following contact phone number (919) 778-1900.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/14/2023.

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-016-012	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	944844	OTHER	NORTH CAROLINA	STATE FACILITY ID
2	340606F	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

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