Changes Place in Rockford - Community/behavioral Health
Changes Place - NPI 1376707190
Changes Place is a Community/behavioral Health in Rockford, Illinois. Changes Place practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Changes Place is 1376707190. The last update date is 2008-07-10.
Changes Place's current location address is 258 N Phelps Ave, Rockford, Illinois. You can contact this provider via phone number 8153160699 and fax number 8153160698. The mailing address for Changes Place is 258 N Phelps Ave, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Changes Place |
|---|---|
| Address | 258 N Phelps Ave, Rockford, Illinois |
| Phone Number | 8153160699 |
| Fax Number | 8153160698 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Phillips Jack |
| Credentials | CADC |
| Telephone Number | 8153160699 |
NPI Number Detail
| NPI Number | 1376707190 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2008-07-10 |
Provider Mailing Address Detail
| Address | 258 N Phelps Ave |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082433 |
| Phone Number | 8153160699 |
| Fax Number | 8153160698 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | A47410002A |
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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 dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A47410001A | IL | LICENSED OUTPATIENT SUBSTANCE | |
| A47410002A | IL | LICENSED OUTPATIENT SUBSTANCE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Changes Place by the Centers for Medicare & Medicaid Services?
The Changes Place has been issued the NPI (National Provider Identifier) 1376707190, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Changes Place is geographically located?
The Changes Place is physically situated at the following location: 258 N Phelps Ave, Rockford, IL, 611082433.
What is the area of specialization for Changes Place, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Changes Place is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
When did Changes Place receive its 1376707190 assignment?
The Changes Place was assigned its 1376707190 on 2008-07-10, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Changes Place, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Changes Place, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-10.
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