Lifespan Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL020075 Issued in NC

Legal business name

LIFESPAN INCORPORATED

Practice address

532 Pleasant Valley Rd
Murphy, NC 28906-2501

Phone

(704) 944-5100

NPI assigned

Jul 26, 2017

Last updated

Jul 26, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robin Devore

Title

VP Corporate Compliance and Program

Phone

(704) 944-5100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1770007213",
    "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": "532 PLEASANT VALLEY RD",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289062501",
            "telephone_number": "704-944-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "VP CORPORATE COMPLIANCE AND PROGRAM",
        "authorized_official_telephone_number": "704-944-5100"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL020075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Counseling Services PLLC
• Lifeguard Ambulance Service LLC (American Medical Response)
• Lifespan
• Lifespan Inc
• Lifespan Incorporated
• Kelsie Lockaby
• Shannon Lominac, PT
• Marsha Nadine Long, APRN, BC
• Cassidy Machael Loree, OTA
• Michael T Madren, LCSW

• Community/Behavioral Health Agency in Murphy, NC
• Providers in Murphy, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.