Active NPI
Change Services LLC
- Substance Use Disorder Rehabilitation Hospital Unit
- Rochester, MN
National Provider Identifier
1598452948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit
- Legal business name
- CHANGE SERVICES LLC
- Doing business as
- Change Services Recovery
- Practice address
- 1700 Broadway Ave N
Rochester, MN 55906-4144 - Phone
- (612) 749-0227
- NPI assigned
- Apr 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peg Kinda
- Title
- Consultant
- Phone
- (507) 401-0419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Primary |
Addresses
Primary practice location
1700 Broadway Ave N
Rochester, MN 55906-4144
Mailing address
1700 Broadway Ave N
Rochester, MN 55906-4144
Phone (612) 749-0227
Other names 1
- Change Services Recovery
National Provider Directory
National Provider DirectoryLocations
1700 Broadway Ave N
Rochester, MN 55906
Phone (612) 749-0227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1598452948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 BROADWAY AVE N",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559064144",
"telephone_number": "612-749-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 BROADWAY AVE N",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559064144",
"telephone_number": "612-749-0227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A",
"authorized_official_last_name": "KINDA",
"authorized_official_first_name": "PEG",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "507-401-0419"
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Change Services Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.