Active NPI
Change and Evolve
- Case Management Agency
- Humble, TX
National Provider Identifier
1083317366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CHANGE AND EVOLVE
- Practice address
- 14634 Diane Manor LN
Humble, TX 77396-4560 - Phone
- (702) 466-4841
- NPI assigned
- Mar 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassandra Black
- Title
- Ceo
- Phone
- (702) 466-4841
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
14634 Diane Manor LN
Humble, TX 77396-4560
Mailing address
PO Box 273
Humble, TX 77347-0273
Phone (702) 466-4841
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1083317366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 273",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773470273",
"telephone_number": "702-466-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14634 DIANE MANOR LN",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773964560",
"telephone_number": "702-466-4841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGE AND EVOLVE",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-24",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "CASSANDRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-466-4841"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.