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LIFE, INC.
NPI 1154475515
Intermediate Care Facility, Intellectual Disabilities in Edenton, NC

Active since January 23, 2007CLIA 34D2122378 · Waiver
255 COKE AVE, EDENTON, NC 27932(252) 482-8121(252) 482-8881 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life, Inc. NPPES

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

LIFE, INC. (NPI 1154475515) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Edenton, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 27, 2026 and lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1154475515
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLIFE, INC.
Location Address255 COKE AVEEdenton, NC 27932-1522
Mailing AddressPo Box 70Edenton, NC 27932-0070 · (252) 482-8666 · Fax (252) 482-8881
Phone(252) 482-8121
Fax(252) 482-8881
Organization SubpartYes
Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900
Enumeration DateJanuary 23, 2007
Last NPPES UpdateDecember 15, 2017
✔ NPI 1154475515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in NC · MHL-021-008
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
255 COKE AVE, Edenton, NC 27932
Open in Google Maps ↗

Other Identifiers 2

Medicaid340610NNC
Other955735NC · State Facility Id

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 34D2122378

Life, Inc - Coke Avenue Group Home · Edenton, NC
Active · expires Nov 27, 2026
CLIA Number34D2122378
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorSandra Duke
Laboratory Phone(252) 482-8121
Laboratory LocationLife, Inc - Coke Avenue Group Home255 Coke Avenue, Edenton, NC 27932
CLIA data matches this NPI record on: Address 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 Life, Inc.'s NPI number?

The NPI number for Life, Inc. is 1154475515. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Life, Inc. located?

Life, Inc. is located at 255 Coke Ave, Edenton, NC 27932. The listed phone number is (252) 482-8121.

What is Life, Inc.'s specialty?

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

Does Life, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2122378) is associated with this NPI, valid through November 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life, Inc. was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.