Changing Lives Enrichment Center Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CHANGING LIVES ENRICHMENT CENTER INC.

Practice address

25 Jenee LN
Durham, NC 27703-2563

Phone

(919) 730-9917

Fax

(919) 267-2662

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Miller

Title

Director

Phone

(919) 730-9917

Specialties & licenses 1

Addresses

Other names 1

• Changing Lives Residential Care, Inc. Doing business as

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1922714732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277020947",
            "telephone_number": "919-730-9917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JENEE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032563",
            "telephone_number": "919-730-9917",
            "fax_number": "919-267-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES ENRICHMENT CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-730-9917",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Changing Lives Residential Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherylee WJ Chang
• Dennis Sang Chang, DDS
• Doreen Chang
• Tiffany Chang, AGACNP-BC
• Change Day Treatment
• Changing Lives Enrichment Program Inc
• Changing Lives Residential Care, Inc.
• Changing Places
• Changing Places Family Care Home
• Changing Places Family Care Home of Durham, LLC

• Adult Care Home Facility in Durham, NC
• Providers in Durham, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.