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ENVISIONS OF LIFE, LLC
NPI 1972700763
Residential Treatment Facility, Emotionally Disturbed Children in Goldsboro, NC

Active since June 27, 2007
420 GULLEY ST, GOLDSBORO, NC 27530(336) 887-0708(336) 887-1085 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Envisions Of Life, Llc NPPES

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

ENVISIONS OF LIFE, LLC (NPI 1972700763) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Goldsboro, North Carolina and active in the NPI registry since June 2007. The organization lists Tomeko Michelle Moore, President, as its authorized official.

NPPES Registry Identity

NPI1972700763
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameENVISIONS OF LIFE, LLC
Location Address420 GULLEY STGoldsboro, NC 27530-5045
Mailing Address307 S Swing Rd Ste 5Greensboro, NC 27409-2073 · (336) 887-0708 · Fax (336) 887-1085
Phone(336) 887-0708
Fax(336) 887-1085
Organization SubpartNo
Authorized OfficialTomeko Michelle MoorePresident · (336) 887-0708
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 26, 2011
✔ NPI 1972700763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in NC · MHL 041 179
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
420 GULLEY ST, Goldsboro, NC 27530
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Other Identifiers 1

Medicaid6604062NC

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 Envisions Of Life, LLC's NPI number?

The NPI number for Envisions Of Life, LLC is 1972700763. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Envisions Of Life, LLC located?

Envisions Of Life, LLC is located at 420 Gulley St, Goldsboro, NC 27530. The listed phone number is (336) 887-0708.

What is Envisions Of Life, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Envisions Of Life, LLC was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.