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

Lifespan, Inc

Organization Developmentally Disabled Services Day Training Agency · NPI 1619013695

Lifespan, Inc is a Developmentally Disabled Services Day Training Agency in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

628 Flowe Dr
Charlotte, NC 28213-5607
Phone: (704) 598-6002
Fax: (704) 944-5102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X · Licence MHL-060-150 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence MHL-060-150 (NC)

Record details

NPI number1619013695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robin Devore — Vp Corporate Compliance/Program Ops · (704) 944-5100
NPI enumeratedJanuary 29, 2007
Last updated in NPPESNovember 5, 2018
Mailing address1511 Shopton Rd, Suite A, Charlotte, NC 28217-3239

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