Organization Active NPI

Adult Life Programs Inc

  • Adult Day Care Clinic/Center
  • Conover, NC
National Provider Identifier
1104957786
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ADULT LIFE PROGRAMS INC
Practice address
211 2ND Avenue PL NE
Conover, NC 28613-2014
Phone
(828) 464-0078
Fax
(828) 464-6081
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystal Brackett, BS
Title
Finance Director
Phone
(828) 326-9120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

211 2ND Avenue PL NE
Conover, NC 28613-2014

Mailing address

PO Box 807
Hickory, NC 28603-0807
Phone (828) 326-9120

Other identifiers 2

IdentifierTypeStateIssuer
8300638MedicaidNC
8302148MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Adult Life Programs Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1104957786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286030807",
            "telephone_number": "828-326-9120",
            "fax_number": "828-327-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 2ND AVENUE PL NE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132014",
            "telephone_number": "828-464-0078",
            "fax_number": "828-464-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT LIFE PROGRAMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "828-326-9120",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300638",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302148",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.