LIFE, INC.
NPI 1962542837
Custodial Care Facility - Adult Care Home in Hertford, NC

NPI Status: Active since February 08, 2007

Contact Information

142 RIVERWOOD DR
HERTFORD, NC
ZIP 27944
Phone: (919) 778-1900

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • CLIA Number: 34D2193228
  • CLIA Cert. Type: Other - DOA HOME
  • CLIA Exp. Date: 09-17-2026

About LIFE, INC.

This page provides the complete NPI Profile along with additional information for Life, Inc., a provider established in Hertford, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1962542837 assigned on February 2007. The practitioner's primary taxonomy code is 311ZA0620X with license number MHL-072-007 (NC). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Richard Lynn Smith (Vp Of Business Operations)

NPI
1962542837
Provider Name
LIFE, INC.
Entity Type
Organization
Location Address
142 RIVERWOOD DR HERTFORD, NC 27944
Location Phone
(919) 778-1900
Mailing Address
2609 ROYALL AVE GOLDSBORO, NC 27534
Mailing Phone
(919) 778-1900
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-08-2007
Last Update Date
12-15-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
MHL-072-007
License State
NC
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1343900000XTransportation Services

Non-emergency Medical Transport (VAN)

MHL-072-007 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RICHARD LYNN SMITH

Authorized Official Title
VP OF BUSINESS OPERATIONS
Authorized Official Phone
(919) 778-1900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7805690MEDICAID (05)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2193228
Facility Type
Other - DOA HOME
Certificate Effective Date
September 18, 2024
Certificate Expiration Date
September 17, 2026
Laboratory Director
SANDRA DUKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Life, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962542837, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 0 + 4 + 4 + 8 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1962542837.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962542837, enumerated as an "organization" on February 08, 2007.

The provider is located at 142 RIVERWOOD DR HERTFORD, NC 27944 and the phone number is (919) 778-1900.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.