Life, Inc./King Street Group Home

LBN: Life, Inc.
Life, Inc./King Street Group Home is an health care organization with primary practice located at 117 South King Street , Halifax NC 27839-0446. 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 (252) 583-1984, or through Smith, Richard Lynn via phone (919) 778-1900.

Contact Information

Primary practice address
117 South King Street Halifax NC 27839-0446
Phone: (252) 583-1984
Fax: (252) 583-1615
Website:
Map and Directions
Authorized official contact:
Name: Smith, Richard Lynn
Phone: (919) 778-1900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X MHL-042-028 North Carolina

Profile Details

NPI number 1942354303
LBN Legal business name Life, Inc.
DBA Doing business as Life, Inc./King Street Group Home
Authorized official Smith, Richard Lynn
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jul 14th, 2023 - about last year

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 1942354303 NPPES
North Carolina Other 970428 STATE FACILITY ID
North Carolina MEDICAID 340612A STATE FACILITY ID

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