Generation Change Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-001-136 Issued in NC

Legal business name

GENERATION CHANGE INC

Practice address

2100 Elon CT
Elon, NC 27244-9771

Phone

(336) 586-7060

Fax

(336) 586-7062

NPI assigned

Feb 14, 2007

Last updated

Aug 22, 2020By 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

Mrs. Cherry Denise Hamrick

Title

Owner

Phone

(704) 756-3425

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255473161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 WICKED OAK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168838",
            "telephone_number": "704-756-3425",
            "fax_number": "336-586-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ELON CT",
            "city": "ELON",
            "state": "NC",
            "postal_code": "272449771",
            "telephone_number": "336-586-7060",
            "fax_number": "336-586-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATION CHANGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMRICK",
        "authorized_official_first_name": "CHERRY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-756-3425",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-001-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devron John Felder
• Kristin Fick
• Jarred Fisher, PA-C
• Marisa C Flores, MD
• Annamaria Folkerts, PAC
• Claudine Gerber, MS, MSW
• Gods Divine Purpose
• Beverly Beck Goodwin, FNP, RN
• Meredith Yates Gregory, BS-ITFS
• Desiree Skye Hanna, FNP

• Emotionally Disturbed Childrens' Residential Treatment Facility in Elon, NC
• Providers in Elon, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.