Organization Active NPI

2 Change of Hearts

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Toms River, NJ
National Provider Identifier
1104671015
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
2 CHANGE OF HEARTS
Practice address
16 Winding River Dr
Toms River, NJ 08755-5123
Phone
(848) 299-2064
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Shataya Boswell, MSW
Title
Director
Phone
(848) 299-2064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

16 Winding River Dr
Toms River, NJ 08755-5123

Mailing address

16 Winding River Dr
Toms River, NJ 08755-5123
Phone (848) 299-2064

Other names 1

  • A Change of heart Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1104671015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WINDING RIVER DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555123",
            "telephone_number": "848-299-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WINDING RIVER DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555123",
            "telephone_number": "848-299-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2 CHANGE OF HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "SHATAYA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "848-299-2064",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Change of heart",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.