CHANGING PLACES FAMILY CARE HOME NPI 1760723514

NPI Information

NPI: 1760723514
Provider Name: CHANGING PLACES FAMILY CARE HOME
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
725 HANSON RD
DURHAM, NC
ZIP 27713
Phone: (919) 688-9703
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CHANGING PLACES FAMILY CARE HOME is a residential treatment facility physical disabilities in Durham, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. CHANGING PLACES FAMILY CARE HOME NPI is 1760723514. The provider is registered as an organization entity type.

The provider's business location address is:

725 HANSON RD
DURHAM, NC
ZIP 27713-117
Phone: (919) 688-9703

The provider's authorized official is Donald Brown .
The authorized official title is Administrator and has the following contact phone number (919) 949-6019.

The enumeration date for this NPI number is 3/4/2013 and was last updated on 3/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36-4749156	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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