LIFEGATE RESIDENTIAL CARE
NPI 1023234671
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Willow Spring, NC

Active since April 18, 2007
209 WHITE OAK FARMS DR, WILLOW SPRING, NC 27592(919) 639-2777(919) 779-2955 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Sep 6, 2023, Aug 22, 2020 (3 updates tracked since 2020).

About Lifegate Residential Care NPPES

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

LIFEGATE RESIDENTIAL CARE (NPI 1023234671) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Willow Spring, North Carolina and active in the NPI registry since April 2007. The organization lists Cleola Mae Martin, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1023234671
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLIFEGATE RESIDENTIAL CARE
Location Address209 WHITE OAK FARMS DRWillow Spring, NC 27592-8534
Mailing Address209 White Oak Farms DrWillow Spring, NC 27592-8534 · (919) 639-2777 · Fax (919) 779-2955
Fax(919) 779-2955
Organization SubpartNo
Authorized OfficialCleola Mae MartinProgram Manager · (919) 779-2209
Enumeration DateApril 18, 2007
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPI 1023234671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in NC · MHL-051-157NC
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X · License MHL-051-157 (NC)
209 WHITE OAK FARMS DR, Willow Spring, NC 27592

Other Names 1

Doing Business AsLifegate Residential Care

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 Lifegate Residential Care's NPI number?

The NPI number for Lifegate Residential Care is 1023234671. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Lifegate Residential Care located?

Lifegate Residential Care is located at 209 White Oak Farms Dr, Willow Spring, NC 27592. The listed phone number is (919) 639-2777.

What is Lifegate Residential Care's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Lifegate Residential Care was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.