LIFE/RAVEN RIDGE GROUP HOME
NPI 1437203890
Intermediate Care Facility, Intellectual Disabilities in Wilson, NC

Q: What is Life, Inc.'s NPI number?

The NPI number for Life, Inc. is 1437203890. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Life/Raven Ridge Group Home.

Q: What is Life, Inc.'s specialty?

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

Q: 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.

Active since January 23, 2007

4105 RAVEN RIDGE DR NW, WILSON, NC 27896(252) 291-8348(252) 291-0812 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Life/raven Ridge Group Home NPPES

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

LIFE/RAVEN RIDGE GROUP HOME (NPI 1437203890) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Wilson, North Carolina and active in the NPI registry since January 2007. The organization lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1437203890

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameLIFE, INC.

Location Address4105 RAVEN RIDGE DR NWWilson, NC 27896-9656

Mailing Address2609 Royall AveGoldsboro, NC 27534-8615 · (919) 778-1900 · Fax (919) 778-1972

Phone(252) 291-8348

Fax(252) 291-0812

Organization SubpartYes

Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900

Enumeration DateJanuary 23, 2007

Last NPPES UpdateDecember 15, 2017

✔ NPI 1437203890 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-098-011

Definition

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

4105 RAVEN RIDGE DR NW, Wilson, NC 27896

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Other Names 1

Doing Business AsLife/raven Ridge Group Home

Other Identifiers 2

Other922436NC · State Facility Id

Medicaid340603HNC

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 1437203890. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Life/Raven Ridge Group Home.

Where is Life, Inc. located?

Life, Inc. is located at 4105 Raven Ridge Dr NW, Wilson, NC 27896. The listed phone number is (252) 291-8348.

What is Life, Inc.'s specialty?

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

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.