Lifetime Resources, Inc.
Lifetime Resources, Inc. is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Wilmington, NC, holding Type 2 (organization) NPI 1003021874 since 2007. The authorized official on file is Robert Thacker, Jr., Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003021874 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lifetime Resources, Inc. |
| Other name | <Unavail> |
| Practice address | 220 DORCHESTER PL, Wilmington, NC, 28412 |
| Phone | 9107621189 |
| Fax | 9107621301 |
| Enumeration date | 2007-05-14 |
| Last updated in NPPES | 2017-07-07 |
Authorized official
| Name | Robert Thacker, Jr. |
|---|---|
| Title | Executive Director |
| Phone | 9107621189 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Secondary | 3406452 | NC |
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Primary | 3406452 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406452 | Medicaid | NC | — |
Copy-ready billing details
Provider: Lifetime Resources, Inc. NPI: 1003021874 Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility) Address: 220 DORCHESTER PL, Wilmington, NC, 28412
Verify this record
Cross-check NPI 1003021874 against the authoritative CMS record: view Lifetime Resources, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Lifetime Resources, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-07-07.