LIFESPAN, INC.
NPI 1003965781
Day Training, Developmentally Disabled Services in Statesville, NC

Q: What is Lifespan, Inc.'s NPI number?

The NPI number for Lifespan, Inc. is 1003965781. It was assigned to this organization in the NPPES registry on January 10, 2007.

Q: What is Lifespan, Inc.'s specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Q: When was this NPI record last updated?

The NPPES record for Lifespan, Inc. was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 10, 2007CLIA 34D2307243 · Waiver

302 W BROAD ST, STATESVILLE, NC 28677(704) 872-8579(704) 872-5272 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lifespan, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESPAN, INC. (NPI 1003965781) is a healthcare organization registered as a day training, developmentally disabled services in Statesville, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Robin Devore, Vp Corporate Compliance/program Ops, as its authorized official.

NPPES Registry Identity

NPI1003965781

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameLIFESPAN, INC.

Location Address302 W BROAD STStatesville, NC 28677-5260

Mailing Address1511 Shopton Rd, Suite ACharlotte, NC 28217-3239 · (704) 944-5100 · Fax (704) 944-5102

Phone(704) 872-8579

Fax(704) 872-5272

Organization SubpartNo

Authorized OfficialRobin DevoreVp Corporate Compliance/program Ops · (704) 944-5100

Enumeration DateJanuary 10, 2007

Last NPPES UpdateNovember 4, 2016

✔ NPI 1003965781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in NC · 49000254

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

302 W BROAD ST, Statesville, NC 28677

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Other Identifiers 1

Medicaid3408802NC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2307243

Lifespan, Inc · Charlotte, NC

Active · expires Jul 2, 2028

CLIA Number34D2307243

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateJuly 3, 2026

Certificate Expiration DateJuly 2, 2028

Laboratory DirectorRobin Devore

Laboratory Phone(704) 944-5100

Laboratory LocationLifespan, Inc1511 Shopton Rd Suite A, Charlotte, NC 28217

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifespan, Inc.'s NPI number?

The NPI number for Lifespan, Inc. is 1003965781. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Lifespan, Inc. located?

Lifespan, Inc. is located at 302 W Broad St, Statesville, NC 28677. The listed phone number is (704) 872-8579.

What is Lifespan, Inc.'s specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Does Lifespan, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2307243) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifespan, Inc. was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.