Changing Lives Family Care LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHANGING LIVES FAMILY CARE LLC

Practice address

4406 Indian River Rd
Chesapeake, VA 23325-3131

Phone

(912) 247-9567

Fax

(804) 884-3702

NPI assigned

Jun 8, 2020

Last updated

Jul 4, 2025By 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

Catrina BanksNPI 1063889897

Title

Owner

Phone

(912) 247-9567

Specialties & licenses 6

Addresses

Locations

Practitioners 3

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.

• Catrina Banks

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesapeake, VA
  • NPI 1063889897

  Multi-Specialty

  NPD (past) Authorized official
• Tiffany Parkes Moscova

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1720745300
  NPD (past)
• Shauntai C Wright, MSW, LCSW

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1942078035
  NPD (past)

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1487278255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 INDIAN RIVER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253131",
            "telephone_number": "912-247-9567",
            "fax_number": "804-884-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 INDIAN RIVER RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233253131",
            "telephone_number": "912-247-9567",
            "fax_number": "804-884-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-247-9567"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Ming Chandler, M.D.
• Natasha Chandra, OTR/L
• Ashley Chaney, P.T.
• Rachel Chaney, BT
• Amos Hwei-Cheh Chang, MD
• Changing Lives Mental Health Foundation
• Jacoba Chapman, LMT
• Michelle Chappell, LCSW
• Chapters Quality Home Health Care
• Temaya Charity

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; 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.