Active NPI
Changing Minds Inc
- Adult Care Home Facility
- Memphis, TN
National Provider Identifier
1861139370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- CHANGING MINDS INC
- Practice address
- 2333 Cliffdale CV
Memphis, TN 38127-3514 - Phone
- (901) 281-3425
- NPI assigned
- May 16, 2022
- Last updated
- May 16, 2022
- 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
- Tara Brooks, BACHELORS OF SW
- Title
- Ceo
- Phone
- (901) 281-3425
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | NU | ||
| Adult Care Home Facility | 311ZA0620X | NU | Primary | |
| PACE Provider Organization | 251T00000X | NU |
Addresses
Primary practice location
2333 Cliffdale CV
Memphis, TN 38127-3514
Mailing address
5417 Eagle Bead CV
Memphis, TN 38125-4305
Phone (901) 281-3425
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Social Worker
- Memphis, TN
- NPI 1225161110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652659200000",
"number": "1861139370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5417 EAGLE BEAD CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254305",
"telephone_number": "901-281-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 CLIFFDALE CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381273514",
"telephone_number": "901-281-3425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING MINDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-16",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-281-3425",
"authorized_official_credential": "BACHELORS OF SW"
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Chandler&Irving Medical
- Melissa Erin Chando, NP-C
- Dominique Chang, M.D.
- Jenifer Chang, RDN
- Changing Life at Home Homecare Corp (Touching Hearts Homecare)
- Changing the Criterion ABA Therapy
- Alexandra Dee Maxted Chantara, M.D.
- Nicholas Suknarin Chantara, P.T.
- Rafael Alfonso Chaparro Jr., MD.
- Allison Rey Chapman, FAMILY NURSE PRACTIT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.