Life, Inc.

Organization Active NPI Adult Care Home Facility · Grandy, NC

NPI 1902946882 · NPPES record last updated Dec 15, 2017

Key facts

NPI
1902946882
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
MHL-027-007 (NC)
Legal business name
LIFE, INC.
Practice address
139 Barnard Rd
Grandy, NC 27939-9629
Phone
(919) 734-4386
NPI assigned
Feb 8, 2007
Organization subpart
Yes
Parent organization (as reported)
LIFE, INC.

Authorized official

Name
James Walker
Title
Director of Contract Services
Phone
(919) 778-1900

Corporate family (same tax ID) 47

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

View all 47

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2047327Life, Inc-Currituck Group Home
139 Barnard Rd, Grandy, NC 27939
Certificate of waiverSep 20, 2026

National Provider Directory

Tax ID family
Life Inc (48 organizations share this tax ID)
Part of
Life Inc

Locations

139 Barnard Rd
Grandy, NC 27939
Phone (919) 734-4386

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X MHL-027-007 NC Yes
Non-emergency Medical Transport (VAN) 343900000X MHL-027-007 NC

Addresses

Primary practice location

139 Barnard Rd
Grandy, NC 27939-9629

Mailing address

2609 Royall Ave
Goldsboro, NC 27534-8615
Phone (919) 778-1900

Other identifiers

IdentifierTypeStateIssuer
7805688MedicaidNC

Other names

  • Currituck Home Doing business as

Other providers in Grandy, NC

All providers in Grandy, NC · Adult Care Home Facility in North Carolina

Sources for this page

Verify at the official NPI Registry.