Change Home Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

CHANGE HOME CARE LLC

Practice address

514 Penllyn Pike
Blue Bell, PA 19422

Phone

(267) 650-0975

NPI assigned

May 11, 2024

Organization subpart

No

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

Authorized official

Name

Edson M Wright, MSW

Title

Director

Phone

(267) 650-0975

Specialties & licenses 2

Addresses

Other names 1

• Change Home Care LLC Doing business as

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1124876339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N 7TH ST STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 PENLLYN PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "267-650-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "EDSON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-650-0975",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Change Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tricia Cavanaugh, M.D.
• CDM Physical Therapy & Performance
• Jessica Patricia Chacon, DMD
• P Chandra Chadaga, M.D
• Kristen Chai, PT, DPT
• Charles K Herman MD PLLC
• Charles V. Giannasio, MD, PC
• Charm Pediatric Dentistry, LLC
• Stephen Charnitski, D.M.D.
• Steven Michael Chevarria, ATC

• Home Health Aide in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Home Health Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.