CHANGE ACADEMY AT LAKE OF THE OZARKS
NPI 1659900835
Residential Treatment Facility, Emotionally Disturbed Children in Springville, UT

Active since April 08, 2020
266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD, SPRINGVILLE, UT 84663(866) 534-7057 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, Jun 20, 2023, Apr 3, 2023 and 2 more (5 updates tracked since 2020).

About Change Academy At Lake Of The Ozarks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANGE ACADEMY AT LAKE OF THE OZARKS (NPI 1659900835), doing business as Potomac At Hobble Creek, is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Springville, Utah and active in the NPI registry since April 2020. The organization lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1659900835
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCHANGE ACADEMY AT LAKE OF THE OZARKS
Location Address266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROADSpringville, UT 84663
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132
Organization SubpartYes
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateApril 8, 2020
Last NPPES UpdateMay 21, 20255 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1659900835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD, Springville, UT 84663

Other Names 1

Doing Business AsPotomac At Hobble Creek

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD
SPRINGVILLE, UT 84663
Clinic/Center (Mental Health (Including Community Mental Health Center))
266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD
SPRINGVILLE, UT 84663
Residential Treatment Facility, Emotionally Disturbed Children
266 SOUTH LEFT FORK HOBBLE CREEK CANYON ROAD
SPRINGVILLE, UT 84663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Change Academy At Lake Of The Ozarks's NPI number?

The NPI number for Change Academy At Lake Of The Ozarks is 1659900835. It was assigned to this organization in the NPPES registry on April 8, 2020. The provider is doing business as Potomac at Hobble Creek.

Where is Change Academy At Lake Of The Ozarks located?

Change Academy At Lake Of The Ozarks is located at 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663. The listed phone number is (866) 534-7057.

What is Change Academy At Lake Of The Ozarks's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Change Academy At Lake Of The Ozarks was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.