LIFESPAN INC
NPI 1477099752
Community/Behavioral Health in Charlotte, NC

Active since January 11, 2017
4806 FARM POND LN, CHARLOTTE, NC 28212(704) 536-7739 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifespan Inc NPPES

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

LIFESPAN INC (NPI 1477099752) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since January 2017. The organization lists Robin Devore, Vp Corporate Compliance And Program, as its authorized official.

NPPES Registry Identity

NPI1477099752
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFESPAN INC
Location Address4806 FARM POND LNCharlotte, NC 28212-8558
Mailing Address1511 Shopton Rd, Suite ACharlotte, NC 28217-3239 · (704) 944-5100
Organization SubpartNo
Authorized OfficialRobin DevoreVp Corporate Compliance And Program · (704) 944-5100
Enumeration DateJanuary 11, 2017
NPI 1477099752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NC · MHL-060-1336
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.
4806 FARM POND LN, Charlotte, NC 28212

Other Identifiers 1

Medicaid3408802NC

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 Lifespan Inc's NPI number?

The NPI number for Lifespan Inc is 1477099752. It was assigned to this organization in the NPPES registry on January 11, 2017.

Where is Lifespan Inc located?

Lifespan Inc is located at 4806 Farm Pond Ln, Charlotte, NC 28212. The listed phone number is (704) 536-7739.

What is Lifespan 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 Lifespan Inc was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.