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WICKHAM ROAD FACILITY
NPI 1356481220
Custodial Care Facility - Adult Care Home in Shiloh, NC

Active since February 08, 2007
258 WICKHAM RD, SHILOH, NC 27974(252) 336-4142(252) 336-2372 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wickham Road Facility NPPES

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

WICKHAM ROAD FACILITY (NPI 1356481220) is a healthcare organization registered as an adult care home in Shiloh, North Carolina and active in the NPI registry since February 2007. The organization lists James Walker, Director Of Contract Services, as its authorized official.

NPPES Registry Identity

NPI1356481220
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLIFE, INC.
Location Address258 WICKHAM RDShiloh, NC 27974-7222
Mailing Address2609 Royall AveGoldsboro, NC 27534-8615 · (919) 778-1900 · Fax (919) 778-2920
Phone(252) 336-4142
Fax(252) 336-2372
Organization SubpartYes
Authorized OfficialJames WalkerDirector Of Contract Services · (919) 778-1900
Enumeration DateFebruary 8, 2007
Last NPPES UpdateDecember 15, 2017
✔ NPI 1356481220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · MHL-015-004
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License MHL-015-004 (NC)
258 WICKHAM RD, Shiloh, NC 27974
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Other Names 1

Doing Business AsWickham Road Facility

Other Identifiers 1

Medicaid7805689NC

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 1356481220. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Wickham Road Facility.

Where is Life, Inc. located?

Life, Inc. is located at 258 Wickham Rd, Shiloh, NC 27974. The listed phone number is (252) 336-4142.

What is Life, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

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.