Active NPI
Care-Direct Inc
Doing business as Change A Life Time Companies Inc
- Home Health Agency
- Brick, NJ
National Provider Identifier
1073893848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HP0028400
- Legal business name
- CARE-DIRECT INC
- Doing business as
- Change A Life Time Companies Inc
- Practice address
- 1629 Route 88 W
Brick, NJ 08724-3067 - Phone
- (203) 296-4660
- Fax
- (203) 296-4660
- NPI assigned
- Aug 24, 2011
- Last updated
- Aug 24, 2011
- Organization subpart
- Yes
- Parent organization
- CHANGE A LIFE TIME COMPANIES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Veronica K Wilson
- Title
- Operations Director
- Phone
- (203) 296-4660
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | ||
| Home Health Agency | 251E00000X | HP0028400 | NJ | Primary |
| Nursing Care Agency | 251J00000X | E57319 | CT | |
| Assisted Living Facility (Mental Illness) | 3104A0625X | NU | ||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | NU | ||
| Substance Abuse Rehabilitation Facility | 324500000X | NU | ||
| Non-emergency Medical Transport (VAN) | 343900000X | NU | ||
| Respite Care | 385H00000X | NU | ||
| Child Mental Illness Respite Care | 385HR2055X | NU | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | ||
| Child Physical Disabilities Respite Care | 385HR2065X | NU | ||
| Early Intervention Provider Agency | 252Y00000X | NU | ||
| Foster Care Agency | 253J00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
1629 Route 88 W
Brick, NJ 08724-3067
Mailing address
168 Wainwright PL
Stratford, CT 06614-3247
Phone (203) 296-4660
Other names 1
- Change A Life Time Companies Inc
National Provider Directory
National Provider Directory- Tax ID family
- Care-Direct Inc
- Part of
- Change a Lifetime Companies Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Brick, NJ
- NPI 1538441365
Locations
1629 Route 88 W
Brick, NJ 08724
Phone (203) 296-4660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314144000000",
"number": "1073893848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 WAINWRIGHT PL",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066143247",
"telephone_number": "203-296-4660",
"fax_number": "203-296-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 ROUTE 88 W",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243067",
"telephone_number": "203-296-4660",
"fax_number": "203-296-4660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE-DIRECT INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHANGE A LIFE TIME COMPANIES INC",
"enumeration_date": "2011-08-24",
"last_updated": "2011-08-24",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "VERONICA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "203-296-4660"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "HP0028400",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CT",
"license": "E57319",
"primary": false
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Change A Life Time Companies Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.