CHANGING PLACES FAMILY CARE HOME (NPI# 1760723514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760723514 |
Entity Type | Organization |
Organization Name | CHANGING PLACES FAMILY CARE HOME |
Practice Address |
725 Hanson Rd Durham NC 27713-1117 |
Practice Telephone | 9196889703 |
Enumeration Date | 2013-03-04 |
Last Update Date | 2013-03-04 |
Authorized Official Name | DONALD BROWN SR. (ADMINISTRATOR) |
Authorized Official Telephone | 9199496019 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 36-4749156 | 05 |
Street Address |
725 HANSON RD |
City | DURHAM |
State | NC |
Zip Code | 27713-1117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477695831 | Choice Care, Inc | Custodial Care Facility | 725 Hanson Rd, Durham, NC 27713-1117 | 2007-02-13 |
1982061610 | Changing Places Family Care Home of Durham, LLC | Residential Treatment Facility, Physical Disabilities | 725 Hanson Rd, Durham, NC 27713-1117 | 2016-01-26 |
1811254972 | Changing Places | Residential Treatment Facility, Physical Disabilities | 725 Hanson Rd, Durham, NC 27713-1117 | 2012-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
Find all providers in zip 27713 |
Taxonomy Code | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417329749 | Troy Leigh Lockamy | Residential Treatment Facility, Physical Disabilities | 300 Meredith Dr, Durham, NC 27713-2282 | 2015-10-26 |
1063638328 | Outreach Home #1 | Residential Treatment Facility, Physical Disabilities | 2826 S Roxboro St, Durham, NC 27707-4039 | 2007-04-17 |
1982061610 | Changing Places Family Care Home of Durham, LLC | Residential Treatment Facility, Physical Disabilities | 725 Hanson Rd, Durham, NC 27713-1117 | 2016-01-26 |
1649699588 | Jamaal Leathers | Residential Treatment Facility, Physical Disabilities | 1011 Park Ave, Durham, NC 27701-3548 | 2014-04-08 |
1811254972 | Changing Places | Residential Treatment Facility, Physical Disabilities | 725 Hanson Rd, Durham, NC 27713-1117 | 2012-04-13 |
1619115078 | Duke Diet and Fitness Center | Residential Treatment Facility, Physical Disabilities | 501 Douglas St, Durham, NC 27705-3888 | 2009-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346883170 | Vision of Therapeutic Development, Inc. | Residential Treatment Facility, Physical Disabilities | 35 Southern Village Dr, Roxboro, NC 27573-2516 | 2019-10-24 |
1144760844 | Tjt Family Home | Residential Treatment Facility, Physical Disabilities | 116 Leanne Dr, Greenville, NC 27858-8126 | 2017-02-28 |
1104361518 | Senior Care Carolinas | Residential Treatment Facility, Physical Disabilities | 9640 Gilead Grove Rd, Huntersville, NC 28078-2289 | 2016-12-21 |
1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
1689044638 | April Campbell Lee | Residential Treatment Facility, Physical Disabilities | 3204 Huntleigh Dr, Raleigh, NC 27604-3310 | 2015-10-03 |
1538545025 | Viktoriya Semenova | Residential Treatment Facility, Physical Disabilities | 1405 Falls Church Rd, Raleigh, NC 27609-4015 | 2015-08-06 |
1356744932 | Z & M Residential Villa 1 | Residential Treatment Facility, Physical Disabilities | 10298 Pasture Rd, Middlesex, NC 27557-7200 | 2014-09-26 |
1841608866 | Noa Human Services LLC 3 | Residential Treatment Facility, Physical Disabilities | 1847 Waycross Drive, Winston Salem, NC 27106 | 2014-07-23 |
1831527233 | Audrey F Jessup | Residential Treatment Facility, Physical Disabilities | 1471 Deer Rd, Mt Airy, NC 27030-1471 | 2013-10-22 |
1194150417 | Azalea Garden | Residential Treatment Facility, Physical Disabilities | 413 Culvert St, Apex, NC 27502-1731 | 2013-09-05 |
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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.