Chance of Change, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

CHANCE OF CHANGE, INC

Practice address

1489 Mundys Mill Rd Ste 200
Jonesboro, GA 30238-6026

Phone

(404) 246-4765

NPI assigned

Aug 27, 2018

Last updated

Aug 27, 2018By 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. Karen Johnson

Title

Chief Executive Oficer

Phone

(404) 246-4765

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1548741713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 S HILLS",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966060",
            "telephone_number": "404-246-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 MUNDYS MILL RD STE 200",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302386026",
            "telephone_number": "404-246-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE OF CHANGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFICER",
        "authorized_official_telephone_number": "404-246-4765",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Voluntary or Charitable Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Voluntary or Charitable Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.