COMMUNITY ADVOCATE FOR CHANGE INC.
NPI 1508502402
Technician - Personal Care Attendant in Fayetteville, GA

Active since May 12, 2022
204 PLAYERS CIR, FAYETTEVILLE, GA 30215(404) 492-1656 Get Directions Write a Review

NPPES record last updated: June 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2024, May 12, 2022 (2 updates tracked since 2022).

  • Organization
  • Technician
  • Personal Care Attendant

About COMMUNITY ADVOCATE FOR CHANGE INC.

This page provides the complete NPI Profile along with additional information for Community Advocate For Change Inc., a provider established in Fayetteville, Georgia operating as a Technician, focusing in personal care attendant . The healthcare provider is registered in the NPI registry with number 1508502402 assigned on May 2022. The practitioner's primary taxonomy code is 3747P1801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Community Advocate For Change Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Community Advocate For Change Inc.. The authorized official of this NPI record is Ms. Jodie M Chambers Ms Hca (Owner)

NPI
1508502402 Verify this NPI
Provider Legal Name
CHAMBERS PERSONAL HOME HEALTH CARE SERVICES LLC.
Other Organization Name
COMMUNITY ADVOCATE FOR CHANGE INC.
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
204 PLAYERS CIR FAYETTEVILLE, GA 30215
Location Phone
(404) 492-1656
Mailing Address
PO BOX 1875 JONESBORO, GA 30237
Mailing Phone
(404) 492-1656
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-12-2022
Last Update Date
06-23-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician Personal Care Attendant

Taxonomy Code
3747P1801X
Type
Nursing Service Related Providers
Taxonomy Description
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

 
2164W00000XNursing Service Providers

Licensed Practical Nurse

 
32278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Respiratory Therapist, Certified
Home Health

 
4253Z00000XAgencies

In Home Supportive Care

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JODIE M CHAMBERS MS HCA

Authorized Official Title
OWNER
Authorized Official Phone
(404) 492-1656

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Home Health
204 PLAYERS CIR
FAYETTEVILLE, GA 30215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508502402, enumerated as an "organization" on May 12, 2022.

The provider is located at 204 PLAYERS CIR FAYETTEVILLE, GA 30215 and the phone number is (404) 492-1656.

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.