CHANCE 2 CHANGE (NPI# 1750708004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750708004 |
| Entity Type | Organization |
| Organization Name | CHANCE 2 CHANGE |
| Other Organization Name | BREAK THE CYCLE |
| Practice Address |
4721 E Moody Blvd Ste 107 Bunnell FL 32110-7705 |
| Practice Telephone | 3864370235 |
| Mailing Telephone | 3864370235 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | JANET JOHNSON (OWNER) |
| Authorized Official Telephone | 3864370026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Break The Cycle | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578911541 | Chance 2 Change | Clinic/Center | 724 South Beach Street, Suite 3, Daytona, FL 32114 | 2016-05-31 |
| 1164815106 | Chance 2 Change | Clinic/Center | 724 S Beach St, Suite 3, Daytona Beach, FL 32114-5441 | 2015-03-16 |
| Street Address |
4721 E MOODY BLVD STE 107 |
| City | BUNNELL |
| State | FL |
| Zip Code | 32110-7705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679673396 | Palm Coast Chiropractic Center, Jta Inc | Chiropractor | 4721 E Moody Blvd, Suite 101, Bunnell, FL 32110-7706 | 2006-09-23 |
| 1578991782 | Qwikcare Inc | Nurse Practitioner | 4721 E Moody Blvd, Suite 204, Bunnell, FL 32110-7705 | 2013-10-25 |
| 1427316082 | Neal A Isaac | Physical Therapist | 4721 E Moody Blvd, Building #1, Suite 103, Bunnell, FL 32110-7705 | 2012-05-01 |
| 1598968257 | Kimberly A Sanfilippo | Respiratory Therapist, Registered | 4721 E Moody Blvd, Bldg 1 Ste 103, Bunnell, FL 32110-7705 | 2007-06-08 |
| 1386847051 | Ginger Tripp | Physical Therapist | 4721 E Moody Blvd, Blg 1 Ste 103, Bunnell, FL 32110-7705 | 2007-06-08 |
| 1003901687 | All City Family Health Corp | Clinic/Center | 4721 E Moody Blvd, Bldg 1 Suite 103, Bunnell, FL 32110-7706 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669017349 | Ashley Jessica Harris | Nurse Practitioner | 2795 County Road 13, Bunnell, FL 32110 | 2019-11-17 |
| 1407321698 | Medical Risk Solutions | Family Medicine | 1769 E. Moody Blvd, Bunnell, FL 32110 | 2018-10-04 |
| 1518225408 | Christopher Manly Deck | Occupational Therapy Assistant | 5795 Chestnut Ave, Bunnell, FL 32110 | 2012-04-27 |
| 1588947337 | Flagler Mental Health Center, Pa | Community/Behavioral Health | 2729 E. Moody Blvd Ste 105, Bunnell, FL 32110 | 2011-09-27 |
| 1922273606 | Nancy Hutt Culver | Technician | 2384 County Rd 305, Bunnell, FL 32110 | 2008-04-24 |
| 1487772984 | Jennifer Lois Fraser | Dentist | 35 Caroline Street, Bunnell, FL 32110 | 2007-03-26 |
| 1750463154 | Jennifer L Thornton | Chiropractor | 4721 East Moody Blvd, Suite101, Bunnell, FL 32110 | 2006-10-19 |
| 1720175649 | Bunnell Medical Center Inc | Family Medicine | 700 E. Moody Blvd, Bunnell, FL 32110 | 2006-10-10 |
| 1245326990 | Patrick Gerald Reed | Chiropractor | 4601 East Highway 100, Suite G4, Bunnell, FL 32110 | 2006-10-04 |
| 1013000652 | Flagler Diagnostic & Sleeping Disorder, Inc, Inc | Clinic/Center | 4721 E. Moody Blvd Suite 104, Bunnell, FL 32110 | 2006-10-02 |
| Find all providers in zip 32110 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839283 | St John's Recovery Place LLC | Clinic/Center | St Johns Recovery Place LLC, 1811 S Orlando Ave, Cocoa Beach, FL 32931-3211 | 2020-07-24 |
| 1205451689 | Inspire of Palm Beach | Clinic/Center | 1803 S Australian Ave, West Palm Beach, FL 33409-6454 | 2020-06-11 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1265054761 | Holistix Treatment Centers, LLC | Clinic/Center | 5311 Lake Worth Rd, Greenacres, FL 33463-3353 | 2020-05-07 |
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
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| 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.