Organization Active NPI

Change2Care LLC

  • Attendant Care Provider
  • Indianapolis, IN
National Provider Identifier
1154162964
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
CHANGE2CARE LLC
Practice address
11358 Falls Church Dr
Indianapolis, IN 46229-2473
Phone
(463) 268-9668
NPI assigned
Jun 5, 2024
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Mrs. Tracey Cobb
Title
Ceo
Phone
(463) 268-9668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

11358 Falls Church Dr
Indianapolis, IN 46229-2473

Mailing address

11358 Falls Church Dr
Indianapolis, IN 46229-2473
Phone (463) 268-9668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1154162964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11358 FALLS CHURCH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292473",
            "telephone_number": "463-268-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11358 FALLS CHURCH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462292473",
            "telephone_number": "463-268-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE2CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "463-268-9668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.