Changing Lives Group Home Iv , Llc
LBN: Changing Lives Group Home Iv , Llc
Changing Lives Group Home Iv , Llc is an health care organization with primary practice located at 1404 Cushing St , Greensboro NC 27405-3300. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Nursing & Custodial Care Facilities / Adult Care Home. Agencies / Community/Behavioral Health is the primary health care specialty.
Changing Lives Group Home Iv , Llc can be contacted via phone (336) 516-6187, or through Wade, Jaquay via phone (336) 516-6187.
Contact Information
Primary practice address
1404 Cushing St
Greensboro NC 27405-3300
Phone: (336) 516-6187
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X |
Profile Details
| NPI number | 1760905178 |
|---|---|
| LBN Legal business name | Changing Lives Group Home Iv , Llc |
| DBA Doing business as | |
| Authorized official | Wade, Jaquay |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2017 |
| Last updated | Sep 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760905178 | NPPES |
| North Carolina | MEDICAID | 1760905178 |
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