Life, Inc./Lockwood Street Group Home
LBN: Life, Inc.
Life, Inc./Lockwood Street Group Home is an health care organization with primary practice located at 156 Countryside Dr Sw , Supply NC 28462-3300. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty.
Life, Inc. can be contacted via phone (910) 754-2854, or through Smith, Richard Lynn via phone (919) 778-1900.
Contact Information
Primary practice address
156 Countryside Dr Sw
Supply NC 28462-3300
Phone: (910) 754-2854
Fax: (910) 799-3680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded | 315P00000X | MHL-010-009 | North Carolina |
Profile Details
| NPI number | 1568516938 |
|---|---|
| LBN Legal business name | Life, Inc. |
| DBA Doing business as | Life, Inc./Lockwood Street Group Home |
| Authorized official | Smith, Richard Lynn |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Dec 15th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568516938 | NPPES |
| North Carolina | Other | 922152 | STATE FACILITY ID |
| North Carolina | MEDICAID | 340601W | STATE FACILITY ID |
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