Change Agents Network, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHANGE AGENTS NETWORK, LLC

Practice address

506 Blair St
Savannah, GA 31401-5100

Phone

(912) 210-6855

Fax

(888) 753-1005

NPI assigned

Sep 1, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kendra Caprice Carter, MSW

Title

Owner

Phone

(912) 210-6855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1811120298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2532",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314022532",
            "telephone_number": "912-210-6855",
            "fax_number": "888-753-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 BLAIR ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314015100",
            "telephone_number": "912-210-6855",
            "fax_number": "888-753-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE AGENTS NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "CAPRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-210-6855",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Victoria Champen
• Laura C Chan, NP
• Rebekah Elaine Chance-Revels, RN, WHNP-BC
• Andrea Nicole Chancey, P.A.-C
• India Chaney, RBT
• Changing Lives Family Care of Georgia LLC
• Jessica Chapman
• Samuel D Chapman, MSN
• Charis Assisted Living Homes LLC
• Charles R. Fana Jr., DMD PC

• Community/Behavioral Health Agency in Savannah, GA
• Providers in Savannah, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.