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Changing Lives Group Home Iv , Llc
Adult Care Home Facility in Greensboro, North Carolina
NPI 1760905178

Changing Lives Group Home Iv , Llc is an Adult Care Home Facility based in Burlington, NC and is specialized in Adult Care Home. Changing Lives Group Home Iv , Llc practices in Greensboro, NC. The NPI Number for Changing Lives Group Home Iv , Llc is 1760905178 and holds a License No. (North Carolina).

The current practice location address for Changing Lives Group Home Iv , Llc is 1404 Cushing St, Greensboro, NC and can be reached out via phone at 336-516-6187.

Location: 1404 Cushing St, Greensboro, NC, 27217-2505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760905178
Provider Name
Changing Lives Group Home Iv , Llc
Credential
Provider Entity Type
Organization
Address
1404 Cushing St, Greensboro, NC, 27217-2505
Phone Number
336-516-6187
Fax Number
Provider Enumeration Date
07/18/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1760905178 05 NC
institution
Provider Business Practice Location Address Details
Address
1404 Cushing St
City
Greensboro
State
North Carolina
Zip
27405-3300
Phone Number
336-516-6187
Fax Number
person
Provider Business Mailing Address Details
Address
1404 Cushing St
City
Greensboro
State
North Carolina
Zip
27405-3300
Phone Number
336-516-6187
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
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.
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