CHANCE OF CHANGE, INC


Address: 1489 Mundys Mill Rd Ste 200, Jonesboro, GA 30238-6026
Phone: 4042464765

CHANCE OF CHANGE, INC (NPI# 1548741713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548741713
Entity Type Organization
Organization Name CHANCE OF CHANGE, INC
Practice Address 1489 Mundys Mill Rd Ste 200
Jonesboro
GA 30238-6026
Mailing Address 2770 S Hills
Riverdale
GA 30296-6060
Practice Telephone 4042464765
Mailing Telephone 4042464765
Enumeration Date 2018-08-27
Last Update Date 2018-08-27
Authorized Official Name MRS. KAREN JOHNSON (CHIEF EXECUTIVE OFICER)
Authorized Official Telephone 4042464765
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 343900000X Non-emergency Medical Transport (VAN) Transportation Services
Y 251V00000X Voluntary or Charitable Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CHANCE OF CHANGE, INC. 1489 Mundys Mill Rd Ste 200, Jonesboro, GA 30238-6026

Office Location

Street Address 1489 MUNDYS MILL RD STE 200
City JONESBORO
State GA
Zip Code 30238-6026

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1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1942560206 Terri L Lee Counselor 7899 Waterwheel Way, Jonesboro, GA 30238 2012-05-21
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1518297175 Heavenly Assisted Care, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 10555 Aspenwood Ct, Jonesboro, GA 30238 2010-01-05
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1205050259 Caryn Ann Grzesiakowski Chiropractor 809 Flint River Road, Suite #4, Jonesboro, GA 30238 2007-04-12
1548325483 Janet Musser Granski Social Worker 110 North Bend Court, Jonesboro, GA 30238 2006-12-22
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1407138563 Unique Minds, Inc. Voluntary or Charitable 409 Arrowhead Blvd, Suite C5, Jonesboro, GA 30236-1255 2011-09-15
1881922417 Life Skills Center, Inc. Voluntary or Charitable 303 E Cherry Ave, Jonesboro, AR 72401-4170 2009-11-19

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1801339692 Nurture Future Youth Inc Voluntary or Charitable 185 Carolina Ln, Lavonia, GA 30553-1630 2016-11-28
1174987879 Ser Familia, Inc. Voluntary or Charitable 1700 Water Pl Se, Atlanta, GA 30339-2006 2016-04-08
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1487025482 American Association of Integrative & Pastoral Medicine Voluntary or Charitable 3695 Cascade Rd Sw # 117f, Atlanta, GA 30331-2173 2015-10-15
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Competitor

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City JONESBORO
Zip Code 30238

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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