NPIMap

Organization Active NPI

Upward Change Health Service

  • In Home Supportive Care Agency
  • Durham, NC
National Provider Identifier
1659782332
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
P007600 Issued in NC
Legal business name
UPWARD CHANGE HEALTH SERVICE
Practice address
807 E Main St
Apt 2931
Durham, NC 27701-4074
Phone
(919) 682-5300
NPI assigned
May 15, 2014
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Mrs. Latasha Machelle-Kelly Smith, LCSW-ANPI 1770998858
Title
Team Lead, Clinical Therapist
Phone
(910) 778-3049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X P007600 NC Primary

Addresses

Primary practice location

807 E Main St
Apt 2931
Durham, NC 27701-4074

Mailing address

807 E Main St
Durham, NC 27701-4074
Phone (919) 682-5300

National Provider Directory

National Provider Directory
Tax ID family
Upward Change Health Services LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1659782332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 E MAIN ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014074",
            "telephone_number": "919-682-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E MAIN ST",
            "address_2": "APT 2931",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014074",
            "telephone_number": "919-682-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD CHANGE HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "MACHELLE-KELLY",
        "authorized_official_title_or_position": "TEAM LEAD, CLINICAL THERAPIST",
        "authorized_official_telephone_number": "910-778-3049",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "P007600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.