Luke Street Facility - Edenton

LBN: Life, Inc.
Luke Street Facility - Edenton is an health care organization with primary practice located at 200 Luke St , Edenton NC 27932-9614. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Transportation Services / Non-emergency Medical Transport (VAN). Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Life, Inc. can be contacted via phone (919) 734-4386, or through Walker, James via phone (919) 778-1900.

Contact Information

Primary practice address
200 Luke St Edenton NC 27932-9614
Phone: (919) 734-4386
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, James
Phone: (919) 778-1900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X MHL-021-013 North Carolina
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X MHL-021-013 North Carolina

Profile Details

NPI number 1760522478
LBN Legal business name Life, Inc.
DBA Doing business as Luke Street Facility - Edenton
Authorized official Walker, James
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 8th, 2007
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760522478 NPPES
North Carolina MEDICAID MHL-021-013

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