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MCKEEL LOOP ROAD HOME
NPI 1679627350
Intermediate Care Facility, Intellectual Disabilities in Wilson, NC

Active since January 22, 2007CLIA 34D2037002 · Waiver
5910 FARMWOOD LOOP, WILSON, NC 27896(252) 291-9647(252) 291-0812 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mckeel Loop Road Home NPPES

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

MCKEEL LOOP ROAD HOME (NPI 1679627350) 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 holds a CLIA Waiver certificate valid through February 16, 2028 and lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1679627350
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLIFE, INC.
Location Address5910 FARMWOOD LOOPWilson, NC 27896-8007
Mailing Address2609 Royall AveGoldsboro, NC 27534-8615 · (919) 778-1900 · Fax (919) 778-1900
Phone(252) 291-9647
Fax(252) 291-0812
Organization SubpartYes
Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 15, 2017
✔ NPI 1679627350 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-098-012
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
5910 FARMWOOD LOOP, Wilson, NC 27896
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Other Names 1

Doing Business AsMckeel Loop Road Home

Other Identifiers 2

Medicaid340603UNC
Other922202NC · State Facility Id

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 34D2037002

Life, Inc-Mckeel Loop Group Home · Wilson, NC
Active · expires Feb 16, 2028
CLIA Number34D2037002
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorSandra G. Duke
Laboratory Phone(252) 291-9647
Laboratory LocationLife, Inc-Mckeel Loop Group Home5910 Farmwood Loop Rd, Wilson, NC 27893
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 1679627350. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is doing business as Mckeel Loop Road Home.

Where is Life, Inc. located?

Life, Inc. is located at 5910 Farmwood Loop, Wilson, NC 27896. The listed phone number is (252) 291-9647.

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 34D2037002) is associated with this NPI, valid through February 16, 2028. 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.