CHANGING LIVES GROUP HOME IV , LLC
NPI 1760905178
Community/Behavioral Health in Greensboro, NC

Q: What is Changing Lives Group Home IV , LLC's NPI number?

The NPI number for Changing Lives Group Home IV , LLC is 1760905178. It was assigned to this organization in the NPPES registry on July 18, 2017.

Q: What is Changing Lives Group Home IV , LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 18, 2017

1404 CUSHING ST, GREENSBORO, NC 27405(336) 516-6187 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2020, Jul 18, 2017 (2 updates tracked since 2017).

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About Changing Lives Group Home Iv , Llc NPPES

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

CHANGING LIVES GROUP HOME IV , LLC (NPI 1760905178) is a healthcare organization registered as a community/behavioral health in Greensboro, North Carolina and active in the NPI registry since July 2017. The organization lists Jaquay Wade, Director, as its authorized official.

NPPES Registry Identity

NPI1760905178

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCHANGING LIVES GROUP HOME IV , LLC

Location Address1404 CUSHING STGreensboro, NC 27405-3300

Mailing Address823 Day AveBurlington, NC 27217-2505

Phone(336) 516-6187

Organization SubpartNo

Authorized OfficialJaquay WadeDirector · (336) 516-6187

Enumeration DateJuly 18, 2017

Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2020

✔ NPI 1760905178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X

1404 CUSHING ST, Greensboro, NC 27405

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Other Identifiers 1

Medicaid1760905178NC

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 Group Home IV , LLC's NPI number?

The NPI number for Changing Lives Group Home IV , LLC is 1760905178. It was assigned to this organization in the NPPES registry on July 18, 2017.

Where is Changing Lives Group Home IV , LLC located?

Changing Lives Group Home IV , LLC is located at 1404 Cushing St, Greensboro, NC 27405. The listed phone number is (336) 516-6187.

What is Changing Lives Group Home IV , LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Changing Lives Group Home IV , LLC was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.