Organization Active NPI

Changing Strides Community Services Inc

  • Developmental Disabilities Clinic/Center
  • Fort Pierce, FL
National Provider Identifier
1255947834
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
CHANGING STRIDES COMMUNITY SERVICES INC
Practice address
130 S Indian River Dr Ste 242
Fort Pierce, FL 34950-4353
Phone
(772) 828-8796
NPI assigned
Sep 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Authorized official

Name
Anithra Minus
Title
Ceo
Phone
(772) 828-8796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

130 S Indian River Dr Ste 242
Fort Pierce, FL 34950-4353

Mailing address

130 S Indian River Dr Ste 242
Fort Pierce, FL 34950-4353
Phone (772) 828-8796

National Provider Directory

National Provider Directory

Locations

130 S Indian River Dr
Ste 242
Fort Pierce, FL 34950
Phone (772) 828-8796

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600473600000",
    "number": "1255947834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S INDIAN RIVER DR STE 242",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504353",
            "telephone_number": "772-828-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S INDIAN RIVER DR STE 242",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504353",
            "telephone_number": "772-828-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING STRIDES COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A",
        "authorized_official_last_name": "MINUS",
        "authorized_official_first_name": "ANITHRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-828-8796"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.