LUKE STREET FACILITY - EDENTON
NPI 1760522478
Custodial Care Facility - Adult Care Home in Edenton, NC

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

The NPI number for Life, Inc. is 1760522478. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Luke Street Facility - Edenton.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Life, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 08, 2007

200 LUKE ST, EDENTON, NC 27932(919) 734-4386 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 21, 2022, Dec 15, 2017 (2 updates tracked since 2017).

On this page

About Luke Street Facility - Edenton NPPES

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

LUKE STREET FACILITY - EDENTON (NPI 1760522478) is a healthcare organization registered as an adult care home in Edenton, North Carolina and active in the NPI registry since February 2007. The organization lists James Walker, Director Of Contract Services, as its authorized official.

NPPES Registry Identity

NPI1760522478

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameLIFE, INC.

Location Address200 LUKE STEdenton, NC 27932-9614

Mailing Address2609 Royall AveGoldsboro, NC 27534-8615 · (919) 778-1900 · Fax (919) 778-1972

Phone(919) 734-4386

Organization SubpartYes

Authorized OfficialJames WalkerDirector Of Contract Services · (919) 778-1900

Enumeration DateFebruary 8, 2007

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1760522478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · MHL-021-013

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 ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X · License MHL-021-013 (NC)

200 LUKE ST, Edenton, NC 27932

Open in Google Maps ↗

Other Names 1

Doing Business AsLuke Street Facility - Edenton

Other Identifiers 1

MedicaidMHL-021-013NC

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 1760522478. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Luke Street Facility - Edenton.

Where is Life, Inc. located?

Life, Inc. is located at 200 Luke St, Edenton, NC 27932. The listed phone number is (919) 734-4386.

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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.