Changing Hands Home-Care LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CHANGING HANDS HOME-CARE LLC

Practice address

6966 Jack Horner LN
Jacksonville, FL 32210-3620

Phone

(904) 437-2843

NPI assigned

Apr 20, 2022

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fredisha WhiteNPI 1164165635

Title

Owner

Phone

(904) 437-2843

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fredisha White

  • Home Health Aide
  • Jacksonville, FL
  • NPI 1164165635
  NPD Authorized official

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1235872821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 JACK HORNER LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103620",
            "telephone_number": "904-437-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6966 JACK HORNER LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103620",
            "telephone_number": "904-437-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING HANDS HOME-CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "FREDISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-437-2843"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1136300600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ko-Yun Chang, MD, MPH
• Man-Kuang Chang, M.D
• Marivic Mallari Chang, PT,DPT,CKTP
• Avani Changela, MD
• Kinesh Changela, M.D.
• Changing Perspectives Counseling Group, LLC
• Changing Tides Therapy and Wellness LLC
• Sydney Ray Channon, NP
• Katia Anis Chantiri, LMHC
• Nai Chao, PHARM.D.

• Developmentally Disabled Services Day Training Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.