GREENVILLE LOOP GROUP HOME
NPI 1093920878
Intermediate Care Facility, Intellectual Disabilities in Wilmington, NC

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

The NPI number for Lifetime Resources, Inc. is 1093920878. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Greenville Loop Group Home.

Q: What is Lifetime Resources, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since May 14, 2007

6100 GREENVILLE LOOP RD, WILMINGTON, NC 28409(910) 762-1189(910) 762-1301 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Greenville Loop Group Home NPPES

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

GREENVILLE LOOP GROUP HOME (NPI 1093920878) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Wilmington, North Carolina and active in the NPI registry since May 2007. The organization lists Robert T. Thacker, Jr., Executive Director, as its authorized official.

NPPES Registry Identity

NPI1093920878

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameLIFETIME RESOURCES, INC.

Location Address6100 GREENVILLE LOOP RDWilmington, NC 28409-2325

Mailing Address1316 S. 16th StreetWilmington, NC 28401-6422 · (910) 762-1189 · Fax (910) 762-1301

Phone(910) 762-1189

Fax(910) 762-1301

Organization SubpartNo

Authorized OfficialRobert T. Thacker, Jr.Executive Director · (910) 762-1189

Enumeration DateMay 14, 2007

Last NPPES UpdateJuly 7, 2017

✔ NPI 1093920878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in NC · 3406453

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 3406453 (NC)

6100 GREENVILLE LOOP RD, Wilmington, NC 28409

Open in Google Maps ↗

Other Names 1

Other NameGreenville Loop Group Home

Other Identifiers 1

Medicaid3406453NC

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 Lifetime Resources, Inc.'s NPI number?

The NPI number for Lifetime Resources, Inc. is 1093920878. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Greenville Loop Group Home.

Where is Lifetime Resources, Inc. located?

Lifetime Resources, Inc. is located at 6100 Greenville Loop Rd, Wilmington, NC 28409. The listed phone number is (910) 762-1189.

What is Lifetime Resources, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Lifetime Resources, Inc. was last updated on July 7, 2017. 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.