LIFE CHANGEZ INC NPI 1689829293

NPI Information

NPI: 1689829293
Provider Name: LIFE CHANGEZ INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3833 BUFFALOE RD
RALEIGH, NC
ZIP 27604
Phone: (919) 239-4299
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LIFE CHANGEZ INC is a community based residential treatment facility mental illness in Raleigh, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. LIFE CHANGEZ INC NPI is 1689829293. The provider is registered as an organization entity type.

The provider's business location address is:

3833 BUFFALOE RD
RALEIGH, NC
ZIP 27604-210
Phone: (919) 239-4299
Fax: (919) 803-2808

The provider's authorized official is Rene Cofer Whitehead .
The authorized official title is Executive Director and has the following contact phone number (919) 538-8920.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 7/21/2020.

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	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health			No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children			No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	MHL-092-728	NORTH CAROLINA	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	6604373	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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