LIFESPAN, INC. (NPI# 1447396098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447396098 |
| Entity Type | Organization |
| Organization Name | LIFESPAN, INC. |
| Practice Address |
222 Hidden Forrest Ln Hayesville NC 28904-6502 |
| Mailing Address |
200 Clanton Rd Charlotte NC 28217-1304 |
| Practice Telephone | 7049445100 |
| Practice Fax Number | 7049445102 |
| Mailing Telephone | 7049445100 |
| Mailing Fax Number | 7049445102 |
| Enumeration Date | 2007-01-30 |
| 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-022-007 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962924381 | Lifespan, Inc. | Case Management | 314 E 8th Ave, Homestead, PA 15120-1518 | 2017-07-07 |
| 1598950719 | Lifespan, Inc. | Day Training, Developmentally Disabled Services | 20 Harmon Cir, Asheville, NC 28803-1318 | 2007-09-11 |
| 1649317850 | Lifespan, Inc. | Day Training, Developmentally Disabled Services | 67 Redbud Ln, Waynesville, NC 28786-5640 | 2007-01-30 |
| 1730226945 | Lifespan, Inc. | Day Training, Developmentally Disabled Services | 147 Iredell Ave, Troutman, NC 28166-9511 | 2007-01-30 |
| 1841336112 | Lifespan, Inc. | Day Training, Developmentally Disabled Services | 5400 Tuckaseegee Rd, Charlotte, NC 28208-2522 | 2007-01-30 |
| 1619013695 | Lifespan, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 628 Flowe Dr, Charlotte, NC 28213-5607 | 2007-01-29 |
| 1285770230 | Lifespan, Inc. | Day Training, Developmentally Disabled Services | 3747 Bon Rea Dr, Charlotte, NC 28226-3149 | 2007-01-29 |
| 1457400194 | Lifespan, Inc. | Day Training, Developmentally Disabled Services | 919 Stokes St, Burlington, NC 27215-6537 | 2007-01-10 |
| 1003965781 | Lifespan, Inc. | Day Training, Developmentally Disabled Services | 302 W Broad St, Statesville, NC 28677-5260 | 2007-01-10 |
| 1326197062 | Lifespan, Inc. | Day Training, Developmentally Disabled Services | 130 Williamson Ave, Mount Airy, NC 27030-5156 | 2007-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | LIFESPAN, INC. | 800 Bell Trace Circle, Bloomington, IN 47408 |
| Street Address |
222 HIDDEN FORREST LN |
| City | HAYESVILLE |
| State | NC |
| Zip Code | 28904-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710537014 | Western Nc Home Care, LLC | Home Health | 164 Us-64, Hayesville, NC 28904 | 2019-09-18 |
| 1710405501 | Kristin Lyvers | Lactation Consultant, Non-RN | 602 Old Highway 64 W, Hayesville, NC 28904 | 2017-08-31 |
| 1679979629 | Rhonda Sue Schlienger | Family Medicine | 450 Us-64 Bus #4, Hayesville, NC 28904 | 2014-11-18 |
| 1053710947 | Michelle Radford | Case Manager/Care Coordinator | 2465 Eagle Fork Road, Hayesville, NC 28904 | 2014-08-18 |
| 1013140938 | Ingles Markets Inc | Pharmacy | 230 Hwy 64 E, Hayesville, NC 28904 | 2009-08-26 |
| 1336316512 | Hayesville Pharmacy LLC | Pharmacy | 808 Nc Hwy 69, Hayesville, NC 28904 | 2008-05-15 |
| 1427225036 | Anne Young Baldwin | Counselor | 875 Highway 64 Business, Suite 101, Hayesville, NC 28904 | 2008-05-13 |
| 1144415670 | Edward Carl Oconnor | Dentist | 36 Waldroup Road, Hayesville, NC 28904 | 2007-09-07 |
| 1679773485 | Hayesville House, LLC | Alzheimer Center (Dementia Center) | 480 Old 64 West, Hayesville, NC 28904 | 2007-07-19 |
| 1821292798 | Robert Turner Guidry | Psychologist | 46 Church St., Hayesville, NC 28904 | 2007-06-13 |
| Find all providers in zip 28904 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | HAYESVILLE |
| Zip Code | 28904 |
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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.