- Practice location
- 1251 S Main St, Middletown, CT 06457-5050
- Phone
- 860-346-0771
- Fax
- 860-346-0772
- Last updated
- May 13, 2015
Change INC is a healthcare organization based in Middletown, CT. Change INC practices in Middletown, CT. The NPI Number for Change INC is 1316203706. The current practice location address for Change INC is 1251 S Main St, Middletown, CT 06457-5050 and can be reached out via phone at 860-346-0771 and via fax at 860-346-0772.
Provider Profile Details
- NPI Number
- 1316203706
- Provider Name
- Change INC
- Provider Entity Type
- Organization
- Address
- 1251 S Main St, Middletown, CT 06457-5050
- Phone Number
- 860-346-0771
- Fax Number
- 860-346-0772
- Primary Taxonomy
- Case Management · 251B00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Derrick Christopher Gibbs · President / C.e.o. · 860-346-0771
- Provider Enumeration Date
- April 10, 2012
- Last Update Date
- May 13, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1251 S Main St
Middletown, CT 06457-5050 - City
- Middletown
- State
- Connecticut
- Zip
- 06457-5050
- Phone Number
- 860-346-0771
- Fax Number
- 860-346-0772
Provider Business Mailing Address Details
- Address
- 1251 S Main St
Middletown, CT 06457-5050 - City
- Middletown
- State
- CT
- Zip
- 06457-5050
- Phone Number
- 860-346-0771
- Fax Number
- 860-346-0772
License Information
- Taxonomy (1)
- Preferred Provider Organization · 305R00000X
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License State (3)
- CT
- Taxonomy (3)
- Counselor, Professional · 101YP2500X
- License State (4)
- CT
- Taxonomy (4)
- Case Management · 251B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Change INC?
The NPI number of Change INC is 1316203706. It was assigned on April 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Change INC?
Change INC is registered under the primary taxonomy Case Management (code 251B00000X).
Where does Change INC practice?
The practice location is 1251 S Main St, Middletown, CT 06457-5050. The office can be reached at 860-346-0771 (phone) or 860-346-0772 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316203706 directly on the NPPES registry website.