Active NPI
Changing Places Family Care Home
- Physical Disabilities Residential Treatment Facility
- Durham, NC
National Provider Identifier
1760723514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- Legal business name
- CHANGING PLACES FAMILY CARE HOME
- Practice address
- 725 Hanson Rd
Durham, NC 27713-1117 - Phone
- (919) 688-9703
- NPI assigned
- Mar 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Brown Sr.
- Title
- Administrator
- Phone
- (919) 949-6019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Primary |
Addresses
Primary practice location
725 Hanson Rd
Durham, NC 27713-1117
Mailing address
725 Hanson Rd
Durham, NC 27713-1117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36-4749156 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362355200000",
"number": "1760723514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HANSON RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 HANSON RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131117",
"telephone_number": "919-688-9703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING PLACES FAMILY CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-949-6019",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36-4749156",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Change Day Treatment
- Changing Lives Enrichment Center Inc.
- Changing Lives Enrichment Program Inc
- Changing Lives Residential Care, Inc.
- Changing Places
- Changing Places Family Care Home of Durham, LLC
- Yamna Channa
- Nelson Jen an Chao, MD
- Chapel Hill Functional Clinic PA
- Lisa Athenia Chaplin, LCSW-C, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.