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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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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)No
2251B00000XCase ManagementNo
3251K00000XPublic Health or WelfareNo
4251S00000XCommunity/Behavioral HealthYes
5253Z00000XIn Home Supportive CareNo
6261Q00000XClinic/CenterNo
7261QC1500XClinic/CenterCommunity HealthNo
8261QD1600XClinic/CenterDevelopmental DisabilitiesNo
9261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
10261QH0100XClinic/CenterHealth ServiceNo
11261QM0850XClinic/CenterAdult Mental HealthNo
12261QR0400XClinic/CenterRehabilitationNo
13261QR1100XClinic/CenterResearchNo
14347C00000XPrivate VehicleNo
15385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.