Change Inc

LBN: Change Inc
Change Inc is an health care organization with primary practice located at 1251 S Main St , Middletown CT 06457-5050. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Agencies / Case Management, Managed Care Organizations / Preferred Provider Organization. Agencies / Case Management is the primary health care specialty. Change Inc can be contacted via phone (860) 346-0771, or through Gibbs, Derrick Christopher via phone (860) 346-0771.

Contact Information

Primary practice address
1251 S Main St Middletown CT 06457-5050
Phone: (860) 346-0771
Fax: (860) 346-0772
Website:
Map and Directions
Authorized official contact:
Name: Gibbs, Derrick Christopher
Phone: (860) 346-0771

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X Connecticut
Agencies / Case Management 251B00000X Connecticut
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1316203706
LBN Legal business name Change Inc
DBA Doing business as
Authorized official Gibbs, Derrick Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2012
Last updated May 13th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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