JAKES PLACE FOR CHANGE LLC NPI 1104328012

NPI Information

NPI: 1104328012
Provider Name: JAKES PLACE FOR CHANGE, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address: 116 CHURCH ST STE 4
RAINBOW CITY, AL
ZIP 35906
Phone: (256) 459-5600

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NPI Details

JAKES PLACE FOR CHANGE, LLC is a community behavioral health in Rainbow City, AL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. JAKES PLACE FOR CHANGE, LLC NPI is 1104328012. The provider is registered as an organization entity type.

The provider's business location address is:

116 CHURCH ST STE 4
RAINBOW CITY, AL
ZIP 35906-287
Phone: (256) 459-5600

The provider's authorized official is Stephanie Lane .
The authorized official title is Director/owner and has the following contact phone number (256) 459-5600.

The enumeration date for this NPI number is 3/6/2018 and was last updated on 3/6/2018.

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	Primary
1	251300000X	Local Education Agency (LEA)		No
2	251B00000X	Case Management		No
3	251K00000X	Public Health or Welfare		No
4	251S00000X	Community/Behavioral Health		Yes
5	253Z00000X	In Home Supportive Care		No
6	261Q00000X	Clinic/Center		No
7	261QC1500X	Clinic/Center	Community Health	No
8	261QD1600X	Clinic/Center	Developmental Disabilities	No
9	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
10	261QH0100X	Clinic/Center	Health Service	No
11	261QM0850X	Clinic/Center	Adult Mental Health	No
12	261QR0400X	Clinic/Center	Rehabilitation	No
13	261QR1100X	Clinic/Center	Research	No
14	347C00000X	Private Vehicle		No
15	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	No

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: 11/21/2025

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