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WILSON DDA
NPI 1700418225
Custodial Care Facility - Adult Care Home in Stantonsburg, NC

Active since February 12, 2020
505 HEMPHILL ST, STANTONSBURG, NC 27883(919) 778-1900(919) 778-1972 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2020, Feb 12, 2020 (2 updates tracked since 2020).

About Wilson Dda NPPES

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

WILSON DDA (NPI 1700418225) is a healthcare organization registered as an adult care home in Stantonsburg, North Carolina and active in the NPI registry since February 2020. The organization lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1700418225
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLIFE, INC.
Location Address505 HEMPHILL STStantonsburg, NC 27883-9011
Mailing Address2609 Royall AveGoldsboro, NC 27534-8615 · (919) 778-1900 · Fax (919) 778-1972
Phone(919) 778-1900
Fax(919) 778-1972
Organization SubpartNo
Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900
Enumeration DateFebruary 12, 2020
Last NPPES UpdateFebruary 18, 20202 updates tracked since enumeration
✔ NPI 1700418225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
505 HEMPHILL ST, Stantonsburg, NC 27883
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Other Names 1

Doing Business AsWilson Dda

Other Identifiers 1

Medicaid3408694NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA INC.
Assisted Living Facility (Assisted Living, Mental Illness)
505 HEMPHILL ST
STANTONSBURG, NC 27883
Wilson County (252) 294-2464

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 1700418225. It was assigned to this organization in the NPPES registry on February 12, 2020. The provider is doing business as Wilson Dda.

Where is Life, Inc. located?

Life, Inc. is located at 505 Hemphill St, Stantonsburg, NC 27883. The listed phone number is (919) 778-1900.

What is Life, Inc.'s specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Life, Inc. was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.