OrganizationActive
Lifespan Incorporated
NPI 1669345765 · Community/Behavioral Health Agency · Graham, NC
Provider details
- NPI number
- 1669345765
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Robin Devore, Chief Compliance Officer(704) 944-5100
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1247 Jimmie Kerr Rd
Graham, NC 27253-8597
Phone: (336) 578-2002
Approximate (ZIP-level) locationGet directions
Mailing address
1511 Shopton Rd
Charlotte, NC 28217-3239
Registry dates
- Enumerated
- 2025-09-25
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.