Organization
LIFESPAN, INC.
Active
Organization
LIFESPAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN DEVORE BA, QP (CHIEF COMPLIANCE OFFICER)
(704) 763-1887
Entity
Organization
Contact information
Practice address
601 N GRAHAM ST, CHARLOTTE, NC 28202-1439
(704) 333-7107
(704) 333-7734
Mailing address
1511 SHOPTON RD STE A, CHARLOTTE, NC 28217-3240
(704) 763-1887
(704) 944-5102
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
6055233
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408802
—
NC
Enumeration date
01/10/2007
Last updated
01/26/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up