LIFESPAN, INC.
NPI 1720136039
Community/Behavioral Health in Monroe, NC

NPI Status: Active since January 05, 2007

Contact Information

1918 E ROOSEVELT BLVD
MONROE, NC
ZIP 28112
Phone: (704) 291-2332
Fax: (704) 291-2301

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  • Organization
  • Community/Behavioral Health

About LIFESPAN, INC.

This page provides the complete NPI Profile along with additional information for Lifespan, Inc., a provider established in Monroe, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1720136039 assigned on January 2007. The practitioner's primary taxonomy code is 251S00000X with license number MHL-090-085 (NC). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Ms. Robin Devore Ba (Vp Corporate Compliance/program Ops)

NPI
1720136039
Provider Name
LIFESPAN, INC.
Entity Type
Organization
Location Address
1918 E ROOSEVELT BLVD MONROE, NC 28112
Location Phone
(704) 291-2332
Location Fax
(704) 291-2301
Mailing Address
1511 SHOPTON RD SUITE A CHARLOTTE, NC 28217
Mailing Phone
(704) 944-5100
Mailing Fax
(704) 291-2301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2007
Last Update Date
11-28-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
MHL-090-085
License State
NC
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251C00000XAgencies

Day Training, Developmentally Disabled Services

MHL-090-085 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ROBIN DEVORE BA

Authorized Official Title
VP CORPORATE COMPLIANCE/PROGRAM OPS
Authorized Official Phone
(704) 944-5100

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3408802MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720136039
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740231206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 3 + 1 + 2 + 0 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1720136039 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720136039, enumerated in the NPI registry as an "organization" on January 05, 2007

The provider is located at 1918 E Roosevelt Blvd Monroe, Nc 28112 and the phone number is (704) 291-2332

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.