Chance Homes, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-092-737 Issued in NC

Legal business name

CHANCE HOMES, INC.

Practice address

1305 Hendren Cir
Raleigh, NC 27610-4937

Phone

(919) 836-7600

NPI assigned

Feb 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deshawnta Renae Lucas

Title

Excecutive Director

Phone

(919) 337-6434

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1033358825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 HENDREN CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104937",
            "telephone_number": "919-836-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HENDREN CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104937",
            "telephone_number": "919-836-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "DESHAWNTA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "EXCECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-337-6434",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-092-737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Kern Champion, MD
• Stacey Champion
• Gerald B Chan, PA-C
• Kevin She-Wai Chan, DDS, MD
• Fungisai Beaullah Chanakira, LPC
• Tracey Monique Chance, RN
• Ashley Dunston Chancellor, M.ED., ITFS
• Jennifer Ann Chancellor, MD
• Chancey Home Care Inc
• Leigh Chancey, PHD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.