Change of Pace Retirement Center Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL53 Issued in FL

Legal business name

CHANGE OF PACE RETIREMENT CENTER INC

Practice address

1715 E Silver Springs Blvd
Ocala, FL 34470-6922

Phone

(352) 629-8990

Fax

(352) 629-8990

NPI assigned

May 21, 2008

Last updated

May 21, 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

Mrs. Cynthia Jean Obrien

Title

Pres Administrator

Phone

(352) 629-8990

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1669639274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706922",
            "telephone_number": "352-629-8990",
            "fax_number": "352-629-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344706922",
            "telephone_number": "352-629-8990",
            "fax_number": "352-629-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE OF PACE RETIREMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRES ADMINISTRATOR",
        "authorized_official_telephone_number": "352-629-8990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL53",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140253600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravi Chandra, MD
• Nanjappa Chandramohan, MD
• Corinne Chaney
• Kellie Rae Chaney, FNP
• David Chang, APRN
• Lina Marcela Chapman
• Steven G Chapman, PA-C
• Demetria Chappelle
• Thomas Chaput Jr.
• Colleen D Character, PH.D.

• Assisted Living Facility in Ocala, FL
• Providers in Ocala, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.