Lifespan, Inc.

LBN: Lifespan, Inc.
Lifespan, Inc. is an health care organization with primary practice located at 5400 Tuckaseegee Rd , Charlotte NC 28208-2522. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Lifespan, Inc. can be contacted via phone (704) 393-9376, or through Devore, Robin via phone (704) 944-5100.

Contact Information

Primary practice address
5400 Tuckaseegee Rd Charlotte NC 28208-2522
Phone: (704) 393-9376
Fax: (704) 944-5102
Website:
Map and Directions
Authorized official contact:
Name: Devore, Robin Bachelor of Arts (BA)
Phone: (704) 944-5100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X MHL-060-147 North Carolina
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-060-147 North Carolina

Profile Details

NPI number 1841336112
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 Nov 5th, 2018 - about 8 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 1841336112 NPPES
North Carolina MEDICAID 3408802

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