OrganizationActive
Lifespan, Inc.
NPI 1215085592 · Developmentally Disabled Services Day Training Agency · Concord, NC
Provider details
- NPI number
- 1215085592
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Davan Cloninger, Ceo/President(704) 944-5100
- License
- MHL-013-104 (NC)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2630 Odell School Rd
Concord, NC 28027-7457
Phone: (704) 788-2903
Fax: (704) 788-2788
Street-level locationGet directions
Mailing address
200 Clanton Rd
Charlotte, NC 28217-1304
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2013-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.