Changing Lives Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CHANGING LIVES HOME CARE

Practice address

2504 Raeford Rd Ste C
Fayetteville, NC 28305-5135

Phone

(910) 580-1923

Fax

(910) 223-7626

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Mischel Mitchell

Title

Administrator

Phone

(910) 580-1923

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1609353903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 PLUM RIDGE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067454",
            "telephone_number": "910-580-1923",
            "fax_number": "910-223-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RAEFORD RD STE C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055135",
            "telephone_number": "910-580-1923",
            "fax_number": "910-223-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MISCHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-580-1923"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Garland Chandler, PT
• Bridget Renee Chandler
• Mark S Chandler, M.D.
• Dinesh Narasimhaiah Chandra, M.D.
• Naomi S Chang, LAT, LMBT
• Changing Outcomes, LLC
• Changing Places Therapeutic Center, Company
• Changing Ways, Inc.
• Ashley Chanza
• Albert Chao, MD

• In Home Supportive Care Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.