Lifespan, Inc.
LBN: Lifespan, Inc.
Lifespan, Inc. is an health care organization with primary practice located at 3127 Kalynne St , Charlotte NC 28208-3125. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Lifespan, Inc. can be contacted via phone (704) 393-5916, or through Devore, Robin via phone (704) 944-5100.
Contact Information
Primary practice address
3127 Kalynne St
Charlotte NC 28208-3125
Phone: (704) 393-5916
Fax: (704) 393-5917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | MHL-011-217 | North Carolina |
| Agencies / Community/Behavioral Health | 251S00000X | MHL-011-217 | North Carolina |
Profile Details
| NPI number | 1144366790 |
|---|---|
| LBN Legal business name | Lifespan, Inc. |
| DBA Doing business as | |
| Authorized official | Devore, Robin Bachelor of Arts (BA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Sep 30th, 2016 - about 8 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 | 1144366790 | NPPES |
| North Carolina | MEDICAID | 8702247 | |
| North Carolina | MEDICAID | 3408802 |
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