EDENTON DAY PROGRAM
NPI 1376059501
Community/Behavioral Health in Edenton, NC

Active since December 26, 2017
701 N BROAD ST STE D, EDENTON, NC 27932(252) 482-8666 Get Directions Write a Review

NPPES record last updated: December 26, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Edenton Day Program NPPES

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

EDENTON DAY PROGRAM (NPI 1376059501) is a healthcare organization registered as a community/behavioral health in Edenton, North Carolina and active in the NPI registry since December 2017. The organization lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1376059501
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFE, INC.
Location Address701 N BROAD ST STE DEdenton, NC 27932-1462
Mailing AddressPo Box 70Edenton, NC 27932-0070 · (252) 482-8666
Organization SubpartYes
Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900
Enumeration DateDecember 26, 2017
NPI 1376059501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NC · MHL-021-009
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License MHL-021-009 (NC)
701 N BROAD ST STE D, Edenton, NC 27932

Other Names 1

Doing Business AsEdenton Day Program

Other Identifiers 1

Medicaid3408694NC

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 1376059501. It was assigned to this organization in the NPPES registry on December 26, 2017. The provider is doing business as Edenton Day Program.

Where is Life, Inc. located?

Life, Inc. is located at 701 N Broad St Ste D, Edenton, NC 27932. The listed phone number is (252) 482-8666.

What is Life, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Life, Inc. was last updated on December 26, 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.