Life Changes Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE CHANGES FAMILY SERVICES

Practice address

West Friendly Ave
5415 Suite a
Greensboro, NC 27455

Phone

(716) 390-8358

NPI assigned

Jul 16, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany Wiley, BS

Title

Owner

Phone

(716) 390-8358

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tiffany D Fox, BSN, MBA

  • Behavior Analyst
  • Greensboro, NC
  • NPI 1245467497

  Community/Behavioral Health

  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1871723486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 REGENTS PARK LN",
            "address_2": "APT D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551838",
            "telephone_number": "716-390-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST FRIENDLY AVE",
            "address_2": "5415 SUITE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27455",
            "telephone_number": "716-390-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-390-8358",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Lide Jr., OTR/L
• Walter Dickinson Liebkemann, MD
• Life Advancement Services PLLC
• Life Builders Intervention Services, Inc.
• Life Champions, LLC
• Life Changes Inc
• Life Changez, Inc
• Life Enhancement Home Care LLC
• Life Source Medical, Inc.
• Life Structures, Inc.

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.