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LIFESPAN, INC.
NPI 1144366790
Community/Behavioral Health in Charlotte, NC

Active since January 30, 2007
3127 KALYNNE ST, CHARLOTTE, NC 28208(704) 393-5916(704) 393-5917 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifespan, Inc. NPPES

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

LIFESPAN, INC. (NPI 1144366790) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization lists Robin Devore, Vp Corporate Compliance/program Ops, as its authorized official.

NPPES Registry Identity

NPI1144366790
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFESPAN, INC.
Location Address3127 KALYNNE STCharlotte, NC 28208-3125
Mailing Address1511 Shopton Rd, Suite ACharlotte, NC 28217-3239 · (704) 944-5100 · Fax (704) 944-5102
Phone(704) 393-5916
Fax(704) 393-5917
Organization SubpartNo
Authorized OfficialRobin DevoreVp Corporate Compliance/program Ops · (704) 944-5100
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 30, 2016
✔ NPI 1144366790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · MHL-011-217
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License MHL-011-217 (NC)
3127 KALYNNE ST, Charlotte, NC 28208
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Other Identifiers 2

Medicaid8702247NC
Medicaid3408802NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFESPAN, INC.
Community/Behavioral Health
3127 KALYNNE ST
CHARLOTTE, NC 28208
Mecklenburg County (704) 393-5916

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 1144366790. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Lifespan, Inc. located?

Lifespan, Inc. is located at 3127 Kalynne St, Charlotte, NC 28208. The listed phone number is (704) 393-5916.

What is Lifespan, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lifespan, Inc. was last updated on September 30, 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.