Active NPI
Lifespan Senior Living
- Community Health Worker
- Wilson, NC
National Provider Identifier
1750217261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- LIFESPAN SENIOR LIVING
- Practice address
- 715 Trinity Dr W
Wilson, NC 27893-2128 - Phone
- (704) 907-3422
- NPI assigned
- Jun 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deanna Smith
- Title
- Owner
- Phone
- (704) 907-3422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
715 Trinity Dr W
Wilson, NC 27893-2128
Mailing address
6622 Brighton Park Dr
Mint Hill, NC 28227-7875
Phone (704) 907-3422
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1750217261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6622 BRIGHTON PARK DR",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277875",
"telephone_number": "704-907-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 TRINITY DR W",
"city": "WILSON",
"state": "NC",
"postal_code": "278932128",
"telephone_number": "704-907-3422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPAN SENIOR LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DEANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-907-3422",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.