CHANGING LIVES NETWORKS INC
NPI 1720790447
Community Based Residential Treatment Facility, Mental Illness in Winston Salem, NC

Active since December 14, 2022
1020 BROOKSTOWN AVE STE 5&6, WINSTON SALEM, NC 27101(336) 293-6535 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2023, Dec 14, 2022 (2 updates tracked since 2022).

About Changing Lives Networks Inc NPPES

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

CHANGING LIVES NETWORKS INC (NPI 1720790447) is a healthcare organization registered as a community based residential treatment facility, mental illness in Winston Salem, North Carolina and active in the NPI registry since December 2022. The organization lists Jaquay Wade, Director, as its authorized official.

NPPES Registry Identity

NPI1720790447
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCHANGING LIVES NETWORKS INC
Location Address1020 BROOKSTOWN AVE STE 5&6Winston Salem, NC 27101-2523
Mailing Address823 Day AveBurlington, NC 27217-2505 · (336) 516-6187
Organization SubpartNo
Authorized OfficialJaquay WadeDirector · (336) 516-6187
Enumeration DateDecember 14, 2022
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
NPI 1720790447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
1020 BROOKSTOWN AVE STE 5&6, Winston Salem, NC 27101

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 Changing Lives Networks Inc's NPI number?

The NPI number for Changing Lives Networks Inc is 1720790447. It was assigned to this organization in the NPPES registry on December 14, 2022.

Where is Changing Lives Networks Inc located?

Changing Lives Networks Inc is located at 1020 Brookstown Ave Ste 5&6, Winston Salem, NC 27101. The listed phone number is (336) 293-6535.

What is Changing Lives Networks Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Changing Lives Networks Inc was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.