Organization Active NPI

Changing Minds Inc

  • Adult Care Home Facility
  • Memphis, TN
National Provider Identifier
1861139370
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Tara Brooks, BACHELORS OF SWNPI 1225161110
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.