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CHANGING LIVES GROUP HOME III, LLC
NPI 1881144186
Custodial Care Facility - Adult Care Home in Burlington, NC

Active since October 11, 2016
636 GUNN ST, BURLINGTON, NC 27217(336) 516-6187 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changing Lives Group Home Iii, Llc NPPES

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

CHANGING LIVES GROUP HOME III, LLC (NPI 1881144186) is a healthcare organization registered as an adult care home in Burlington, North Carolina and active in the NPI registry since October 2016. The organization lists Jaquay Wade, Director, as its authorized official.

NPPES Registry Identity

NPI1881144186
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCHANGING LIVES GROUP HOME III, LLC
Location Address636 GUNN STBurlington, NC 27217-1508
Mailing Address823 Day AveBurlington, NC 27217-2505
Phone(336) 516-6187
Organization SubpartNo
Authorized OfficialJaquay WadeDirector · (336) 516-6187
Enumeration DateOctober 11, 2016
Last NPPES UpdateDecember 2, 2016
✔ NPI 1881144186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
636 GUNN ST, Burlington, NC 27217
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Other Providers at the Same Location NPPES 2

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

R&S INDEPENDENT HEALTH SERVICES
Assisted Living Facility (Assisted Living, Mental Illness)
636 GUNN ST
BURLINGTON, NC 27217
Alamance County (336) 473-6749
SISTERLY LOVE, LLC
Assisted Living Facility (Assisted Living, Mental Illness)
636 GUNN ST
BURLINGTON, NC 27217
Alamance County (336) 226-8237

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 III, LLC's NPI number?

The NPI number for Changing Lives Group Home III, LLC is 1881144186. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Changing Lives Group Home III, LLC located?

Changing Lives Group Home III, LLC is located at 636 Gunn St, Burlington, NC 27217. The listed phone number is (336) 516-6187.

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

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Changing Lives Group Home III, LLC was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.