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

Active since February 08, 2007CLIA 34D2193228 · Waiver
142 RIVERWOOD DR, HERTFORD, NC 27944(919) 778-1900 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life, Inc. NPPES

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

LIFE, INC. (NPI 1962542837) is a healthcare organization registered as an adult care home in Hertford, North Carolina and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Richard Lynn Smith, Vp Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1962542837
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLIFE, INC.
Location Address142 RIVERWOOD DRHertford, NC 27944-9784
Mailing Address2609 Royall AveGoldsboro, NC 27534-8615 · (919) 778-1900
Phone(919) 778-1900
Organization SubpartYes
Authorized OfficialRichard Lynn SmithVp Of Business Operations · (919) 778-1900
Enumeration DateFebruary 8, 2007
Last NPPES UpdateDecember 15, 2017
✔ NPI 1962542837 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-072-007
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-072-007 (NC)
142 RIVERWOOD DR, Hertford, NC 27944
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Other Identifiers 1

Medicaid7805690NC

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 34D2193228

Life, Inc-Perquimans · Hertford, NC
Active · expires Sep 17, 2026
CLIA Number34D2193228
Laboratory TypeDoa Home
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorSandra Duke
Laboratory Phone(252) 426-1926
Laboratory LocationLife, Inc-Perquimans142 Riverwood Drive, Hertford, NC 27944
CLIA data matches this NPI record on: Address
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 1962542837. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Life, Inc. located?

Life, Inc. is located at 142 Riverwood Dr, Hertford, NC 27944. The listed phone number is (919) 778-1900.

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.

Does Life, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2193228) is associated with this NPI, valid through September 17, 2026. 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.