LIFE CHANGEZ INC
NPI 1730441775
Residential Treatment Facility, Emotionally Disturbed Children in Raleigh, NC

Active since June 14, 2012
5321 LOGOS CT, RALEIGH, NC 27610(919) 803-7125(919) 803-2808 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2023, Jul 21, 2020, Jul 3, 2020 (3 updates tracked since 2020).

About Life Changez Inc NPPES

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

LIFE CHANGEZ INC (NPI 1730441775) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Raleigh, North Carolina and active in the NPI registry since June 2012. The organization maintains a secondary practice location in Smithfield and lists Rene Cofer Whitehead, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1730441775
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameLIFE CHANGEZ INC
Location Address5321 LOGOS CTRaleigh, NC 27610-3481
Mailing Address1100 Logger Ct Ste A102Raleigh, NC 27609-8506 · (919) 803-2799 · Fax (919) 803-2808
Fax(919) 803-2808
Organization SubpartNo
Authorized OfficialRene Cofer WhiteheadExecutive Director · (919) 538-8920
Enumeration DateJune 14, 2012
Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
NPI 1730441775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License Licensed in NC · MHL-092-844
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
5321 LOGOS CT, Raleigh, NC 27610

Secondary Practice Location 1

Location 17 W Edgerton StSmithfield, NC 27577-4707 · Phone (919) 538-8920

Other Identifiers 1

Medicaid6604442NC

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 Life Changez Inc's NPI number?

The NPI number for Life Changez Inc is 1730441775. It was assigned to this organization in the NPPES registry on June 14, 2012.

Where is Life Changez Inc located?

Life Changez Inc is located at 5321 Logos Ct, Raleigh, NC 27610. The listed phone number is (919) 803-7125.

What is Life Changez Inc'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 Life Changez Inc was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.