Organization Active NPI

Changes Healing Center LLC

  • Substance Abuse Rehabilitation Facility
  • Laveen, AZ
National Provider Identifier
1235006834
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CHANGES HEALING CENTER LLC
Practice address
7407 W St Charles Ave
Laveen, AZ 85339-7015
Phone
(602) 691-7244
NPI assigned
Oct 20, 2025
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHANGES HEALING CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Johnathan Anderson
Title
Ceo
Phone
(602) 290-1681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

7407 W St Charles Ave
Laveen, AZ 85339-7015

Mailing address

7407 W St Charles Ave
Laveen, AZ 85339-7015
Phone (602) 691-7244

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2330765Changes Healing Center, LLC7407 W St Charles Ave, Laveen, AZ 85339Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Changes Healing Center LLC5 organizations share this tax ID, including this one
Part of
Changes Healing Center LLC

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1235006834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7407 W ST CHARLES AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397015",
            "telephone_number": "602-691-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7407 W ST CHARLES AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853397015",
            "telephone_number": "602-691-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGES HEALING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANGES HEALING CENTER LLC",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-290-1681"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.