Changing Hearts Instead of Losing Lives, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGING HEARTS INSTEAD OF LOSING LIVES, INC

Practice address

713 Forest Road
Plymouth, NC 27962

Phone

(252) 791-0909

NPI assigned

Feb 14, 2007

Last updated

Jul 2, 2008By 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

Hamdiya Moore

Title

Ceo

Phone

(252) 791-0909

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1659413581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 FORREST RD",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279622256",
            "telephone_number": "252-791-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 FOREST ROAD",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "27962",
            "telephone_number": "252-791-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING HEARTS INSTEAD OF LOSING LIVES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "HAMDIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-791-0909"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409573",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Centennial Housing & Community Services Corporation (Washington Regional Medical Center)
• Centennial Housing & Community Services Corporation (Plymouth Primary Care Rural Health Clinic)
• Centennial Housing & Community Services Corporation (Washington Regional Medical Center)
• Centennial Housing & Community Services Corporation (Washington Regional Medical Center)
• Peter Champion
• Anne Elizabeth Charles, DNP, FNP-C, CNM
• Margaret Susan Cody, CRNA
• Community Alignments & Adjustments (Insights of NC)
• Chester Lee Conner, DDS
• County of Washington (Washington County Department of Social Services)

• Community/Behavioral Health Agency in Plymouth, NC
• Providers in Plymouth, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.