Changing Lives Residential Care, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

CHANGING LIVES RESIDENTIAL CARE, INC.

Practice address

3925 N Duke St
Suite 123
Durham, NC 27704-1780

Phone

(919) 251-8711

Fax

(919) 251-8517

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Tania Bond

Title

Owner

Phone

(919) 251-8711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1043597180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 N DUKE ST",
            "address_2": "SUITE 124",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041780",
            "telephone_number": "919-251-8711",
            "fax_number": "919-251-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 N DUKE ST",
            "address_2": "SUITE 123",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277041780",
            "telephone_number": "919-251-8711",
            "fax_number": "919-251-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES RESIDENTIAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-251-8711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Chang
• Tiffany Chang, AGACNP-BC
• Change Day Treatment
• Changing Lives Enrichment Center Inc.
• Changing Lives Enrichment Program Inc
• Changing Places
• Changing Places Family Care Home
• Changing Places Family Care Home of Durham, LLC
• Yamna Channa
• Nelson Jen an Chao, MD

• Mental Illness Community Based Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.