LIFESPAN, INC (NPI# 1184772451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184772451 |
| Entity Type | Organization |
| Organization Name | LIFESPAN, INC |
| Practice Address |
623 Rockford Rd Dobson NC 27017-8459 |
| Mailing Address |
200 Clanton Rd Charlotte NC 28217-1304 |
| Practice Telephone | 3363744466 |
| Practice Fax Number | 3363744467 |
| Mailing Telephone | 7049445100 |
| Mailing Fax Number | 7049445102 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | MS. DAVAN CLONINGER (CEO/PRESIDENT) |
| Authorized Official Telephone | 7049445100 |
| Authorized Official Credential | BA, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | MHL-086-036 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710034228 | Lifespan, Inc | Day Training, Developmentally Disabled Services | 200 Clanton Rd, Charlotte, NC 28217-1304 | 2007-01-05 |
| 1780732040 | Lifespan, Inc | Day Training, Developmentally Disabled Services | 143 Iredell Ave, Troutman, NC 28166-9511 | 2007-01-05 |
| 1730237017 | Lifespan, Inc | Day Training, Developmentally Disabled Services | 233 Montgomery Ave, Suite 1, Albemarle, NC 28001-4081 | 2007-01-05 |
| 1366410813 | Lifespan, Inc | Counselor | 1900 Fairgrove Ave, Hamilton, OH 45011-1966 | 2006-03-10 |
| 1750649521 | Lifespan, Inc | Community/Behavioral Health | 1900 Fairgrove Ave, Hamilton, OH 45011-1966 | 2012-04-30 |
| 1437207792 | Lifespan, Inc | Day Training, Developmentally Disabled Services | 623 Rockford Rd, Dobson, NC 27017-8459 | 2007-01-05 |
| Street Address |
623 ROCKFORD RD |
| City | DOBSON |
| State | NC |
| Zip Code | 27017-8459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437207792 | Lifespan, Inc | Day Training, Developmentally Disabled Services | 623 Rockford Rd, Dobson, NC 27017-8459 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710131685 | Dobson Optometric Eyecare, Pa | Optometrist | 220 S. Main Street, Dobson Optometric Eyecare, Dobson, NC 27017 | 2008-11-05 |
| 1225293962 | Hope Valley, Inc. | Substance Abuse Rehabilitation Facility | 105 County Home Rd, Dobson, NC 27017 | 2008-07-22 |
| 1346421427 | Ricky J Vernon | Physician Assistant | 118 Hamby Street, Dobson, NC 27017 | 2007-11-17 |
| 1467596999 | Kare Mor Consulants, Inc. | Assisted Living Facility | 711 W. Atkins St., Dobson, NC 27017 | 2007-02-17 |
| 1669533436 | Jonesville Family Medical Center, Pa | Family Medicine | 113 Crutchfield St., Dobson, NC 27017 | 2006-12-13 |
| 1891156618 | Stacie Adams | Counselor | 109 W Atkins St, Dobson, NC 27017 | 2016-03-08 |
| 1184056848 | Pqa Healthcare, Inc | Community/Behavioral Health | 705 South Main Street, Dobson, NC 27017 | 2013-08-05 |
| 1902018724 | Jane Rountree | Nurse Practitioner | 118 Hamby Road, Dobson, NC 27017 | 2007-05-04 |
| 1861527335 | Surry County Department of Social Services | Public Health or Welfare | 118 Hamby Road, Dobson, NC 27017-0118 | 2007-02-23 |
| 1366584849 | Premium Home Care LLC | Home Health | 119 B N. Crutchfield St., Dobson, NC 27017-0265 | 2007-02-13 |
| Find all providers in zip 27017 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437207792 | Lifespan, Inc | Day Training, Developmentally Disabled Services | 623 Rockford Rd, Dobson, NC 27017-8459 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.