1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

LIFESPAN, INC.
NPI 1841336112
Intermediate Care Facility, Intellectual Disabilities in Charlotte, NC

Active since January 30, 2007
5400 TUCKASEEGEE RD, CHARLOTTE, NC 28208(704) 393-9376(704) 944-5102 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifespan, Inc. NPPES

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

LIFESPAN, INC. (NPI 1841336112) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization lists Robin Devore, Vp Corporate Compliance/program Ops, as its authorized official.

NPPES Registry Identity

NPI1841336112
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLIFESPAN, INC.
Location Address5400 TUCKASEEGEE RDCharlotte, NC 28208-2522
Mailing Address1511 Shopton Rd, Suite ACharlotte, NC 28217-3239 · (704) 944-5100 · Fax (704) 944-5102
Phone(704) 393-9376
Fax(704) 944-5102
Organization SubpartNo
Authorized OfficialRobin DevoreVp Corporate Compliance/program Ops · (704) 944-5100
Enumeration DateJanuary 30, 2007
Last NPPES UpdateNovember 5, 2018
✔ NPI 1841336112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License MHL-060-147 (NC)
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License MHL-060-147 (NC)
5400 TUCKASEEGEE RD, Charlotte, NC 28208
Open in Google Maps ↗

Other Identifiers 1

Medicaid3408802NC

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 Lifespan, Inc.'s NPI number?

The NPI number for Lifespan, Inc. is 1841336112. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Lifespan, Inc. located?

Lifespan, Inc. is located at 5400 Tuckaseegee Rd, Charlotte, NC 28208. The listed phone number is (704) 393-9376.

What is Lifespan, 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 Lifespan, Inc. was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.