LIFE, INC.
NPI 1285788026
Intermediate Care Facility, Intellectual Disabilities in Chocowinity, NC

Active since January 22, 2007CLIA Certified · 2 labs
1383 DIXON RD, CHOCOWINITY, NC 27817(252) 975-1220(252) 974-1211 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Life, Inc. NPPES

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

LIFE, INC. (NPI 1285788026) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Chocowinity, North Carolina and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1285788026
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLIFE, INC.
Location Address1383 DIXON RDChocowinity, NC 27817-9275
Mailing AddressPo Box 1507Washington, NC 27889-1507 · (252) 974-2600 · Fax (252) 974-1211
Fax(252) 974-1211
Organization SubpartYes
Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 15, 2017
NPI 1285788026 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-007-008
Definition

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

1383 DIXON RD, Chocowinity, NC 27817

Other Identifiers 2

Other921767NC · State Facility Id
Medicaid3406393NC

CLIA Laboratory Certificates CMS CLIA 2

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 34D2174631

Life Incorporated Dixon Road Group Home · Chocowinity, NC
Active · expires Nov 4, 2027
CLIA Number34D2174631
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorKim K. Mcintyre
Laboratory Phone(252) 975-1220
Laboratory LocationLife Incorporated Dixon Road Group Home1383 Dixon Road, Chocowinity, NC 27817
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2033884

Life, Inc Tideland Workshop · Washington, NC
Active · expires Dec 12, 2027
CLIA Number34D2033884
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorStacey Leland
Laboratory Phone(252) 974-2600
Laboratory LocationLife, Inc Tideland Workshop1827 Carolina Avenue, Washington, NC 27889
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285788026, enumerated as an "organization" on January 22, 2007.

The provider is located at 1383 DIXON RD CHOCOWINITY, NC 27817 and the phone number is (252) 975-1220.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.