Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifegate Residential Care

Organization Health Maintenance Organization · NPI 1023234671

Lifegate Residential Care is a Health Maintenance Organization in Willow Spring, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
2

Practice location Address checks out

209 White Oak Farms Dr
Willow Spring, NC 27592-8534
Phone: (919) 639-2777
Fax: (919) 779-2955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence MHL-051-157NC (NC)
Health Maintenance Organization Taxonomy 302R00000X · Licence MHL-051-157 (NC)

Record details

NPI number1023234671
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cleola Martin — Program Manager · (919) 779-2209
Other names Lifegate Residential Care
NPI enumeratedApril 18, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address209 White Oak Farms Dr, Willow Spring, NC 27592-8534