Change Path One, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CHANGE PATH ONE, LLC

Doing business as

Change Path One Health & Wellness

Practice address

3922 Club Valley Dr
Houston, TX 77082-4139

Phone

(713) 858-4043

Fax

(832) 781-8766

NPI assigned

Jun 4, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Deon A. FlenoyNPI 1649711623

Title

Ceo

Phone

(713) 858-4043

Specialties & licenses 1

Addresses

Other names 1

• Change Path One Health & Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deon Flenoy

  • Case Manager/Care Coordinator
  • Houston, TX
  • NPI 1649711623
  NPD (past) Authorized official

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1730671827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14027 MEMORIAL DR # 419",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796826",
            "telephone_number": "713-858-4043",
            "fax_number": "832-781-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 CLUB VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770824139",
            "telephone_number": "713-858-4043",
            "fax_number": "832-781-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE PATH ONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "FLENOY",
        "authorized_official_first_name": "DEON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-858-4043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change Path One Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yusuf Chang, MD
• Change Happens
• Change Institute Center
• Change Institute Recovery Center
• Change Needs Change Limited Liability Company
• Changing My Ways Incoroporated
• Changing My Ways Incorporated
• Changing Tides Consulting, LLC
• Katia Chanin, M.D,
• Kara Chanko

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.