Organization Active NPI

Life Into Life

  • Public Health or Welfare Agency
  • Denver, NC
National Provider Identifier
1932087962
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LIFE INTO LIFE
Practice address
4227 Canopy Creek Dr
Denver, NC 28037-7891
Phone
(980) 230-1052
Fax
(704) 384-1490
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Mrs. Donella Denise Richardson-Graham
Title
Ceo
Phone
(980) 230-1052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

4227 Canopy Creek Dr
Denver, NC 28037-7891

Mailing address

PO Box 3448
Huntersville, NC 28070-3448
Phone (980) 230-1052

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1932087962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3448",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280703448",
            "telephone_number": "980-230-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 CANOPY CREEK DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377891",
            "telephone_number": "980-230-1052",
            "fax_number": "704-384-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE INTO LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON-GRAHAM",
        "authorized_official_first_name": "DONELLA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-230-1052",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.