Active NPI
Changes of Choice, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Decatur, GA
National Provider Identifier
1013287457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- CHANGES OF CHOICE, INC.
- Practice address
- 2223 Starline Dr
Decatur, GA 30032-5631 - Phone
- (404) 328-1418
- Fax
- (404) 328-1499
- NPI assigned
- Jan 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Lanedra N Manning
- Title
- Ceo
- Phone
- (404) 328-1418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | GA | Primary |
Addresses
Primary practice location
2223 Starline Dr
Decatur, GA 30032-5631
Mailing address
2223 Starline Dr
Decatur, GA 30032-5631
Phone (404) 328-1418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338800744A | Other | GA | PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325462400000",
"number": "1013287457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 STARLINE DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300325631",
"telephone_number": "404-328-1418",
"fax_number": "404-328-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 STARLINE DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300325631",
"telephone_number": "404-328-1418",
"fax_number": "404-328-1499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGES OF CHOICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-02",
"last_updated": "2012-01-02",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "LANEDRA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-328-1418",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "338800744A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.