LIFE, INC./LOCKWOOD STREET GROUP HOME
NPI 1568516938
Intermediate Care Facility, Intellectual Disabilities in Supply, NC

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

The NPI number for Life, Inc. is 1568516938. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Life, Inc./Lockwood Street 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

156 COUNTRYSIDE DR SW, SUPPLY, NC 28462(910) 754-2854(910) 799-3680 Get Directions Write a Review

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

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About Life, Inc./lockwood Street Group Home NPPES

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

LIFE, INC./LOCKWOOD STREET GROUP HOME (NPI 1568516938) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Supply, 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

NPI1568516938

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameLIFE, INC.

Location Address156 COUNTRYSIDE DR SWSupply, NC 28462-3300

Mailing Address117j Village Rd NeLeland, NC 28451-7413 · (910) 371-0230 · Fax (910) 799-3680

Phone(910) 754-2854

Fax(910) 799-3680

Organization SubpartYes

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

Enumeration DateJanuary 23, 2007

Last NPPES UpdateDecember 15, 2017

✔ NPI 1568516938 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-010-009

Definition

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

156 COUNTRYSIDE DR SW, Supply, NC 28462

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Other Names 1

Doing Business AsLife, Inc./lockwood Street Group Home

Other Identifiers 2

Other922152NC · State Facility Id

Medicaid340601WNC

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 1568516938. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Life, Inc./Lockwood Street Group Home.

Where is Life, Inc. located?

Life, Inc. is located at 156 Countryside Dr SW, Supply, NC 28462. The listed phone number is (910) 754-2854.

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.