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LIFE, INC/GREEN TEE LANE
NPI 1386798163
Intermediate Care Facility, Intellectual Disabilities in Rocky Mount, NC

Active since January 22, 2007CLIA 34D0994169 · Waiver
1320 GREEN TEE LN, ROCKY MOUNT, NC 27804(252) 972-6975(252) 212-0135 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life, Inc/green Tee Lane NPPES

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

LIFE, INC/GREEN TEE LANE (NPI 1386798163) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Rocky Mount, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1386798163
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLIFE, INC.
Location Address1320 GREEN TEE LNRocky Mount, NC 27804-9635
Mailing AddressPo Box 446Halifax, NC 27839-0446 · (252) 972-6975 · Fax (252) 212-0135
Phone(252) 972-6975
Fax(252) 212-0135
Organization SubpartYes
Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 15, 2017
✔ NPI 1386798163 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-064-020
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1320 GREEN TEE LN, Rocky Mount, NC 27804
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Other Names 1

Doing Business AsLife, Inc/green Tee Lane

Other Identifiers 2

Other944709NC · State Facility Id
Medicaid340606MNC

CLIA Laboratory Certificates CMS CLIA

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 34D0994169

Life Inc- Green Tee Group Home · Rocky Mount, NC
Active · expires Dec 5, 2027
CLIA Number34D0994169
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorSandra Duke Rn
Laboratory Phone(252) 972-6975
Laboratory LocationLife Inc- Green Tee Group Home1320 Green Tee Lane, Rocky Mount, NC 27804
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1386798163. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Life, Inc/Green Tee Lane.

Where is Life, Inc. located?

Life, Inc. is located at 1320 Green Tee Ln, Rocky Mount, NC 27804. The listed phone number is (252) 972-6975.

What is Life, Inc.'s specialty?

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

Does Life, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0994169) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.