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LIFE, INC.
NPI 1730233362
Intermediate Care Facility, Intellectual Disabilities in Goldsboro, NC

Active since January 22, 2007CLIA 34D2281786 · Waiver
1101 E WALNUT ST, GOLDSBORO, NC 27530(919) 736-7668(919) 583-8210 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Life, Inc. NPPES

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

LIFE, INC. (NPI 1730233362) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Goldsboro, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1730233362
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLIFE, INC.
Location Address1101 E WALNUT STGoldsboro, NC 27530-5158
Mailing Address2609 Royall AveGoldsboro, NC 27534-8615 · (919) 778-1900 · Fax (919) 778-1972
Phone(919) 736-7668
Fax(919) 583-8210
Organization SubpartYes
Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 15, 2017
✔ NPI 1730233362 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-096-002
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1101 E WALNUT ST, Goldsboro, NC 27530
Open in Google Maps ↗

Other Identifiers 2

Other952101NC · State Facility Id
Medicaid3416328NC

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 34D2281786

Life, Inc Walnut St Group Home · Goldsboro, NC
Active · expires May 10, 2027
CLIA Number34D2281786
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorSandra Duke
Laboratory Phone(919) 736-7668
Laboratory LocationLife, Inc Walnut St Group Home1011 East Walnut St, Goldsboro, NC 27530
CLIA data matches this NPI record on: 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 1730233362. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Life, Inc. located?

Life, Inc. is located at 1101 E Walnut St, Goldsboro, NC 27530. The listed phone number is (919) 736-7668.

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 34D2281786) is associated with this NPI, valid through May 10, 2027. 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.