Changing Lives Group Home II LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHANGING LIVES GROUP HOME II LLC

Practice address

2321 Albright Dr
Greensboro, NC 27408-5415

Phone

(336) 617-8282

NPI assigned

Apr 26, 2016

Last updated

Apr 26, 2016By 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

Jaquay Wade

Title

Owner

Phone

(336) 516-6187

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1548615651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 DAY STREET",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 ALBRIGHT DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085415",
            "telephone_number": "336-617-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES GROUP HOME II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JAQUAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-516-6187"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vernon Lee Chaney Jr.
• Jeffrey Chang, M.D.
• Joe C. Chang, PA-C, L.AC
• Change Point Consultants, PLLC
• Change Therapeutic Services PLLC
• Changing Lives Group Home IV , LLC
• Changing Paths Counseling Center PLLC
• Changing Phases Behavioral Support (Changing Phases Behavioral Support One)
• Grace Faith Chao, M.D.
• Alexander Clayton Chapman

• Assisted Living Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.