NPIMap

Organization Active NPI

Upward Change Health Services, LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1194138529
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPWARD CHANGE HEALTH SERVICES, LLC
Practice address
2302 W Meadowview Rd
Suite 109
Greensboro, NC 27407-3721
Phone
(336) 852-0092
Fax
(336) 852-0094
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Ms. Misty Alston
Title
Ceo/Owner
Phone
(919) 422-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2302 W Meadowview Rd
Suite 109
Greensboro, NC 27407-3721

Mailing address

807 E Main St Ste 2120
Durham, NC 27701-4099
Phone (919) 682-5300

Other identifiers 1

IdentifierTypeStateIssuer
8302603MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Upward Change Health Services LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 E Main St
Ste 2120
Durham, NC 27701

2302 W Meadowview Rd
Ste 109
Greensboro, NC 27407
Phone (336) 852-0092

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1194138529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E MAIN ST STE 2120",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014099",
            "telephone_number": "919-682-5300",
            "fax_number": "919-682-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W MEADOWVIEW RD",
            "address_2": "SUITE 109",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073721",
            "telephone_number": "336-852-0092",
            "fax_number": "336-852-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD CHANGE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-422-3036",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302603",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.