LIFE CHANGING BEHAVIORAL HEALTH SERVICES (NPI# 1073846416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073846416 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGING BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | LIFE CHANGING HOME HEALTH SERVICES |
| Practice Address |
314 S Main St Fairmont NC 28340-1906 |
| Practice Telephone | 9106289091 |
| Practice Fax Number | 9106289093 |
| Mailing Telephone | 9106289091 |
| Mailing Fax Number | 9106289093 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |
| Authorized Official Name | MR. LUIS ROMAN (COO) |
| Authorized Official Telephone | 9107702682 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Life Changing Home Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760728125 | Life Changing Behavioral Health Services | Counselor | 1021a W 5th St, Lumberton, NC 28358-5417 | 2012-12-12 |
| 1811208747 | Life Changing Behavioral Health Services | Psychiatry & Neurology | 314 S Main St, Fairmont, NC 28340-1906 | 2010-06-25 |
| 1275864266 | Life Changing Behavioral Health Services | Community/Behavioral Health | 817b S Madison St, Whiteville, NC 28472-4613 | 2010-01-15 |
| 1336472778 | Life Changing Behavioral Health Services | Community/Behavioral Health | 304 S Main St, Fairmont, NC 28340-1906 | 2009-09-17 |
| 1265765606 | Life Changing Behavioral Health Services | Community/Behavioral Health | 314 S Main St, Fairmont, NC 28340-1906 | 2009-09-17 |
| Street Address |
314 S MAIN ST |
| City | FAIRMONT |
| State | NC |
| Zip Code | 28340-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396736252 | Linking Services | Specialist | 314 S Main St, Fairmont, NC 28340-1906 | 2005-10-31 |
| 1811208747 | Life Changing Behavioral Health Services | Psychiatry & Neurology | 314 S Main St, Fairmont, NC 28340-1906 | 2010-06-25 |
| 1265765606 | Life Changing Behavioral Health Services | Community/Behavioral Health | 314 S Main St, Fairmont, NC 28340-1906 | 2009-09-17 |
| 1558591685 | Life Changing Behaviral Health Services | Day Training, Developmentally Disabled Services | 314 S Main St, Fairmont, NC 28340-1906 | 2009-07-23 |
| 1912137050 | Life Changing Behaviral Health Services | Counselor | 314 S Main St, Fairmont, NC 28340-1906 | 2009-07-23 |
| 1730319872 | Life Changing Behaviral Health Services | Home Health | 314 S Main St, Fairmont, NC 28340-1906 | 2009-07-23 |
| 1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
| 1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
| 1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
| 1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
| 1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
| 1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
| 1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
| 1225039340 | Lionel Nelson Chamberlain | Optometrist | 204 Iona St, Fairmont, NC 28340-1616 | 2005-08-10 |
| Find all providers in zip 28340 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477003242 | Helping Hands Companion Care L.L.C. | Home Health | 309 Cleveland Ave, Suite 218, Fairmont, WV 26554-1605 | 2016-10-05 |
| 1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
| 1336394345 | We Care Home Care Agency | Home Health | 1549 Fairmont Ave, Fairmont, WV 26554-2158 | 2008-11-19 |
| 1861600876 | Marion County Senior Citizens | Home Health | 105 Maplewood Dr, Fairmont, WV 26554-2147 | 2007-05-21 |
| 1679600365 | American Homecare Services, Inc | Home Health | 1715 Pleasant Valley Rd, Fairmont, WV 26554-9263 | 2007-02-28 |
| 1184622722 | Marion County Health Department Home Health Service | Home Health | 300 2nd St, Fairmont, WV 26554-2830 | 2005-07-08 |
| 1700294964 | Alecto Healthcare Services Fairmont LLC | Home Health | 1325 Locust Ave, Fairmont, WV 26554-1435 | 2014-07-31 |
| 1023383452 | Family Service of Marion and Harrison Counties | Home Health | 1313 Locust Ave, Suite 1, Fairmont, WV 26554-1517 | 2012-03-19 |
| 1700164613 | Therapeutic Behavioral Healthcare Services, LLC | Home Health | 302 N Main St, Fairmont, NC 28340-1730 | 2011-07-26 |
| 1750698767 | Marion County Senior Citizens, Inc. | Home Health | 105 Maplewood Dr, Fairmont, WV 26554-2147 | 2010-09-13 |
| Find all providers in FAIRMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.