IDLEWOOD GROUP HOME
NPI 1215081021
Intermediate Care Facility, Intellectual Disabilities in Roanoke Rapids, NC

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

The NPI number for Life, Inc. is 1215081021. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Idlewood Group Home.

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

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

Q: 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.

Active since January 22, 2007

28 WOOD GLEN RD, ROANOKE RAPIDS, NC 27870(252) 537-4686(252) 583-1615 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Idlewood Group Home NPPES

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

IDLEWOOD GROUP HOME (NPI 1215081021) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Roanoke Rapids, North Carolina and active in the NPI registry since January 2007. The organization lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1215081021

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameLIFE, INC.

Location Address28 WOOD GLEN RDRoanoke Rapids, NC 27870-6285

Mailing AddressPo Box 446Halifax, NC 27839-0446 · (252) 537-4686 · Fax (252) 583-1615

Phone(252) 537-4686

Fax(252) 583-1615

Organization SubpartYes

Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900

Enumeration DateJanuary 22, 2007

Last NPPES UpdateDecember 15, 2017

✔ NPI 1215081021 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-042-009

Definition

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

28 WOOD GLEN RD, Roanoke Rapids, NC 27870

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Other Names 1

Doing Business AsIdlewood Group Home

Other Identifiers 2

Medicaid3416196NC

Other922027NC · State Facility Id

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 1215081021. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Idlewood Group Home.

Where is Life, Inc. located?

Life, Inc. is located at 28 Wood Glen Rd, Roanoke Rapids, NC 27870. The listed phone number is (252) 537-4686.

What is Life, 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 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.