Active NPI
Life, Inc.
Doing business as LIFE, Inc./Albemarle Group Home
- Intellectual Disabilities Intermediate Care Facility
- Edenton, NC
National Provider Identifier
1326199696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- MHL021006
- Legal business name
- LIFE, INC.
- Doing business as
- LIFE, Inc./Albemarle Group Home
- Practice address
- 243 Coke Ave
Edenton, NC 27932-1522 - Phone
- (252) 482-7909
- NPI assigned
- Jan 15, 2007
- Last updated
- Dec 15, 2017
- Organization subpart
- Yes
- Parent organization
- LIFE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Lynn Smith
- Title
- VP of Business Operations
- Phone
- (919) 778-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | MHL021006 | NC | Primary |
Addresses
Primary practice location
243 Coke Ave
Edenton, NC 27932-1522
Mailing address
PO Box 70
Edenton, NC 27932-0070
Phone (252) 482-8666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340610R | Medicaid | NC | |
| MHL-021-006 | Medicaid | NC |
Other names 1
- LIFE, Inc./Albemarle Group Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1326199696. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G331
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LIFE, INC ALBEMARLE GROUP HOME
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jul 19, 1995
- Last certification
- Aug 12, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Most recent change of ownership
- Oct 23, 2018
- Facility address
- 243 Coke Avenue
Edenton, NC 27932
National Provider Directory
National Provider Directory- Tax ID family
- Life Incorporated
- Part of
- Life Incorporated
Other organizations with this tax ID 47
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- New Bern, NC
- NPI 1609004506
-
- Community/Behavioral Health Agency
- Williamston, NC
- NPI 1881822781
-
dba LIFE, Inc./Beaufort Heights Group Home
- Intellectual Disabilities Intermediate Care Facility
- Washington, NC
- NPI 1013061944
-
- Intellectual Disabilities Intermediate Care Facility
- Washington, NC
- NPI 1023162484
-
dba Life, Inc./Leland Day Program
- Community/Behavioral Health Agency
- Leland, NC
- NPI 1023524345
-
- Intellectual Disabilities Intermediate Care Facility
- Newport, NC
- NPI 1043364250
-
- Intellectual Disabilities Intermediate Care Facility
- Williamston, NC
- NPI 1043364672
-
dba Life, Inc./Cherry Lane
- Intellectual Disabilities Intermediate Care Facility
- New Bern, NC
- NPI 1114071032
-
- Adult Care Home Facility
- Roanoke Rapids, NC
- NPI 1134260797
-
dba Life, Inc./Folly Street Group Home
- Intellectual Disabilities Intermediate Care Facility
- Supply, NC
- NPI 1134273907
-
- Intellectual Disabilities Intermediate Care Facility
- Edenton, NC
- NPI 1154475515
Locations
243 Coke Ave
Edenton, NC 27932
Phone (252) 482-7909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513296000000",
"number": "1326199696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"city": "EDENTON",
"state": "NC",
"postal_code": "279320070",
"telephone_number": "252-482-8666",
"fax_number": "252-482-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 COKE AVE",
"city": "EDENTON",
"state": "NC",
"postal_code": "279321522",
"telephone_number": "252-482-7909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFE, INC.",
"enumeration_date": "2007-01-15",
"last_updated": "2017-12-15",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "VP OF BUSINESS OPERATIONS",
"authorized_official_telephone_number": "919-778-1900"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NC",
"license": "MHL021006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340610R",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MHL-021-006",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LIFE, Inc./Albemarle Group Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Edenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.