LIFE HEALTH @ STUBBS
NPI 1366114522
Clinic/Center - Student Health in Wilmington, DE
About Life Health @ Stubbs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE HEALTH @ STUBBS (NPI 1366114522) is a healthcare organization registered as a student health in Wilmington, Delaware and active in the NPI registry since October 2021. The organization lists Forrest Watson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Life Health @ Stubbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Life Health @ Stubbs, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Life Center Complex, Inc's NPI number?
The NPI number for The Life Center Complex, Inc is 1366114522. It was assigned to this organization in the NPPES registry on October 5, 2021. The provider is doing business as Life Health @ Stubbs.
Where is The Life Center Complex, Inc located?
The Life Center Complex, Inc is located at 1100 N Pine St, Wilmington, DE 19801. The listed phone number is (302) 552-3574.
What is The Life Center Complex, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.
Is The Life Center Complex, Inc enrolled in Medicare?
Yes. The Life Center Complex, Inc is registered in the Medicare PECOS enrollment system.
When is The Life Center Complex, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Delaware, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through The Life Center Complex, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to The Life Center Complex, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3), Nurse Practitioner (3) and General Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does The Life Center Complex, Inc accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list The Life Center Complex, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for The Life Center Complex, Inc was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Life Health @ Stubbs · NPI 1366114522
Student Health organization in Wilmington, Delaware. Organization record, active in the CMS NPPES registry since October 5, 2021.
## Identity
- **NPI:** 1366114522 (Entity type: Organization)
- **Enumerated:** October 5, 2021
- **Primary specialty:** Clinic/Center - Student Health · taxonomy 261QS1000X
- **Legal business name:** The Life Center Complex, Inc
- **Organization subpart:** Yes (part of The Life Center Complex, Inc)
- **Authorized official:** Forrest Watson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1100 N PINE ST, Wilmington, DE 19801-4012
- **Phone:** (302) 552-3574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Delaware, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (3), Nurse Practitioner (3), General Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366114522) · Data from the CMS NPPES public registry.