Organization Active NPI

About Change, LLC

  • Community/Behavioral Health Agency
  • Woodbridge, VA
National Provider Identifier
1033512199
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ABOUT CHANGE, LLC
Practice address
13190 Centerpointe Way
Woodbridge, VA 22193-5286
Phone
(919) 737-5600
NPI assigned
Oct 3, 2014
Last updated
Oct 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Nelgy Olivo
Title
Ceo
Phone
(919) 737-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

13190 Centerpointe Way
Woodbridge, VA 22193-5286

Mailing address

1025 Trollingwood LN
Raleigh, NC 27615-7638

National Provider Directory

National Provider Directory
Tax ID family
About Change2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13190 Centerpointe Way
Woodbridge, VA 22193
Phone (919) 737-5600

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1033512199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 TROLLINGWOOD LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 CENTERPOINTE WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935286",
            "telephone_number": "919-737-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "OLIVO",
        "authorized_official_first_name": "NELGY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-737-5600"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.