Organization Active NPI

Lifespan Incorporated

  • Community/Behavioral Health Agency
  • Waynesville, NC
National Provider Identifier
1548027451
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFESPAN INCORPORATED
Practice address
367 Dellwood Rd BLDG C
Waynesville, NC 28786-3135
Phone
(704) 944-5100
NPI assigned
Mar 6, 2024
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Robin Devore
Title
Chief Compliance and Qa Officer
Phone
(704) 763-1887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

367 Dellwood Rd BLDG C
Waynesville, NC 28786-3135

Mailing address

1511 Shopton Rd Ste a
Charlotte, NC 28217-3240

National Provider Directory

National Provider Directory
Tax ID family
Lifespan Inc58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

367 Dellwood Rd
Bldg C
Waynesville, NC 28786

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1548027451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 SHOPTON RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 DELLWOOD RD BLDG C",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863135",
            "telephone_number": "704-944-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE AND QA OFFICER",
        "authorized_official_telephone_number": "704-763-1887"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.