Organization Active NPI

Changes of Choice, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Decatur, GA
National Provider Identifier
1013287457
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
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

Updated by the provider on Jan 2, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
338800744AOtherGAPROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.