LIFE, INC./KING STREET GROUP HOME
NPI 1942354303
Intermediate Care Facility, Intellectual Disabilities in Halifax, NC

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

The NPI number for Life, Inc. is 1942354303. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Life, Inc./King Street Group Home.

Q: What is Life, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Life, Inc. was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 23, 2007

117 SOUTH KING STREET, HALIFAX, NC 27839(252) 583-1984(252) 583-1615 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2023, Dec 15, 2017 (2 updates tracked since 2017).

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About Life, Inc./king Street Group Home NPPES

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

LIFE, INC./KING STREET GROUP HOME (NPI 1942354303) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Halifax, North Carolina and active in the NPI registry since January 2007. The organization lists Richard Lynn Smith, Senior Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1942354303

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameLIFE, INC.

Location Address117 SOUTH KING STREETHalifax, NC 27839-0446

Mailing AddressPo Box 446Halifax, NC 27839-0446 · (252) 583-1984 · Fax (252) 583-1615

Phone(252) 583-1984

Fax(252) 583-1615

Organization SubpartYes

Authorized OfficialRichard Lynn SmithSenior Vice President/cfo · (919) 778-1900

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1942354303 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-042-028

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

117 SOUTH KING STREET, Halifax, NC 27839

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Other Names 1

Doing Business AsLife, Inc./king Street Group Home

Other Identifiers 2

Other970428NC · State Facility Id

Medicaid340612ANC

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 1942354303. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Life, Inc./King Street Group Home.

Where is Life, Inc. located?

Life, Inc. is located at 117 South King Street, Halifax, NC 27839. The listed phone number is (252) 583-1984.

What is Life, 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 Life, Inc. was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.