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NPI · 1720790447 · NPPES-sourced

Changing Lives Networks INC

ActiveMental Illness Community Based Residential Treatment Facility
NPI Number
1720790447
Type 2 · Organisation
Contact
(336) 293-6535
Primary practice line
Last Updated
Enumerated
Primary practice addressNC · 27101-2523
1020 Brookstown Ave Ste 5&6Winston Salem, NC 27101-2523
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About this NPIWhat this record shows.

NPI 1720790447 is registered to Changing Lives Networks INC, a healthcare organisation classified as "Mental Illness Community Based Residential Treatment Facility" and located at 1020 Brookstown Ave Ste 5&6 in Winston Salem, North Carolina. The organisation's authorised official is Jaquay Wade. The organisation has been enumerated in the NPI registry since 2022.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Changing Lives Networks INC accepts. To confirm in-network status with your specific health plan, contact Changing Lives Networks INC directly at (336) 293-6535.

Frequently asked

Yes. NPI 1720790447 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Mental Illness Community Based Residential Treatment Facility is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (336) 293-6535.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Changing Lives Networks INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy320800000X
Last updated
Enumerated
StatusActive
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Same specialtyOther Mental Illness Community Based Residential Treatment Facility providers in North Carolina.

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