Organization Active NPI

Chances 4 Change, Inc.

  • Voluntary or Charitable Agency
  • Azusa, CA
National Provider Identifier
1972283075
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CHANCES 4 CHANGE, INC.
Doing business as
Chances 4 Change, Inc.
Practice address
1151 W Arrow Hwy Apt F63
Azusa, CA 91702-5158
Phone
(323) 997-4419
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Ms. Mechille Patrice JohnsonNPI 1033702824
Title
Chief Executive Officer
Phone
(909) 277-4684

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1151 W Arrow Hwy Apt F63
Azusa, CA 91702-5158

Mailing address

1171 E Alosta Ave # 252
Azusa, CA 91702-2740
Phone (323) 997-4419

Other names 1

  • Chances 4 Change, Inc. Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1972283075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 E ALOSTA AVE # 252",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022740",
            "telephone_number": "323-997-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 W ARROW HWY APT F63",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917025158",
            "telephone_number": "323-997-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCES 4 CHANGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MECHILLE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-277-4684",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chances 4 Change, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Azusa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.