Lifespan, Inc.

LBN: Lifespan, Inc.
Lifespan, Inc. is an health care organization with primary practice located at 147 Iredell Ave , Troutman NC 28166-9511. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Lifespan, Inc. can be contacted via phone (704) 872-1321, or through Devore, Robin via phone (704) 944-5100.

Contact Information

Primary practice address
147 Iredell Ave Troutman NC 28166-9511
Fax: (704) 872-9515
Website:
Authorized official contact:
Name: Devore, Robin Bachelor of Arts (BA)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X K-49502 North Carolina
Agencies / Community/Behavioral Health 251S00000X K-49502 North Carolina

Profile Details

NPI number 1730226945
LBN Legal business name Lifespan, Inc.
DBA Doing business as
Authorized official Devore, Robin Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 6th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730226945 NPPES
North Carolina MEDICAID 3408802

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