Changes Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

150138071 Issued in IN

Legal business name

CHANGES HOME HEALTH CARE, LLC

Practice address

10090 E US Highway 36
Suite C
Avon, IN 46123-8175

Phone

(317) 986-6965

Fax

(317) 203-1064

NPI assigned

Jan 28, 2016

Organization subpart

No

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

Authorized official

Name

Carrie Clark, REGISTERED NURSE

Title

Director of Nursing

Phone

(317) 986-6965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1053778571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 E US HIGHWAY 36",
            "address_2": "SUITE C",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238175",
            "telephone_number": "317-986-6965",
            "fax_number": "317-203-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 E US HIGHWAY 36",
            "address_2": "SUITE C",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238175",
            "telephone_number": "317-986-6965",
            "fax_number": "317-203-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "317-986-6965",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "150138071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Avon, IN
• Providers in Avon, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.