Changing Places Family Care Home of Durham, LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

CHANGING PLACES FAMILY CARE HOME OF DURHAM, LLC

Practice address

725 Hanson Rd
Durham, NC 27713-1117

Phone

(919) 697-7340

Fax

(919) 479-9055

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Hattie J Dunham, BSN, RN

Title

Administrator

Phone

(919) 697-7340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1982061610",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "725 HANSON ROAD",
            "city": "DURHAM",
            "state": "NORTH CAROLINA (NC)",
            "postal_code": "27713",
            "telephone_number": "919-248-0650",
            "fax_number": "919-908-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HANSON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131117",
            "telephone_number": "919-697-7340",
            "fax_number": "919-479-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING PLACES FAMILY CARE HOME OF DURHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "HATTIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-697-7340",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changing Lives Enrichment Center Inc.
• Changing Lives Enrichment Program Inc
• Changing Lives Residential Care, Inc.
• Changing Places
• Changing Places Family Care Home
• Yamna Channa
• Nelson Jen an Chao, MD
• Chapel Hill Functional Clinic PA
• Lisa Athenia Chaplin, LCSW-C, LICSW
• Eric Lee Chapman, LPT

• Physical Disabilities Residential Treatment Facility in Durham, NC
• Providers in Durham, NC by specialty
• Physical Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.