NPIMap

Organization Active NPI

Realistic Change by C.H.O.I.C.E., Inc. @ Valleybrook I

  • Mental Illness Community Based Residential Treatment Facility
  • Troutman, NC
National Provider Identifier
1265713432
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL 049-129 Issued in NC
Legal business name
REALISTIC CHANGE BY C.H.O.I.C.E., INC. @ VALLEYBROOK I
Practice address
245 Valleybrook LN
Troutman, NC 28166-9645
Phone
(704) 528-2044
Fax
(704) 528-2077
NPI assigned
Sep 1, 2011
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mrs. Rhonda Corpening, MSW
Title
Clinical Director, C.E.O.
Phone
(704) 528-2044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL 049-129 NC Primary

Addresses

Primary practice location

245 Valleybrook LN
Troutman, NC 28166-9645

Mailing address

PO Box 570
Troutman, NC 28166-0570
Phone (704) 582-2044

National Provider Directory

National Provider Directory
Tax ID family
Realistic Change by Choice Inc Valleybrook I4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1265713432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281660570",
            "telephone_number": "704-582-2044",
            "fax_number": "704-528-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 VALLEYBROOK LN",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281669645",
            "telephone_number": "704-528-2044",
            "fax_number": "704-528-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALISTIC CHANGE BY C.H.O.I.C.E., INC. @ VALLEYBROOK I",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "CORPENING",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR, C.E.O.",
        "authorized_official_telephone_number": "704-528-2044",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL 049-129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutman, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.