CHANGING LIVES LLC (NPI# 1710593223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710593223 |
| Entity Type | Organization |
| Organization Name | CHANGING LIVES LLC |
| Practice Address |
500 N Rainbow Blvd Ste 300 Las Vegas NV 89107-1061 |
| Mailing Address |
5727 Canoga Ave Apt 138 Woodland Hills CA 91367-6500 |
| Practice Telephone | 3107701897 |
| Enumeration Date | 2020-09-20 |
| Last Update Date | 2020-09-20 |
| Authorized Official Name | MORGAN HEFLIN (DIRECTOR) |
| Authorized Official Telephone | 3107701897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CHANGING LIVES LLC | 210 N Louise St # 1.2, Glendale, CA 91206-4709 |
| Street Address |
500 N RAINBOW BLVD STE 300 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639116841 | Sharon Ann Colica | Podiatrist | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2006-05-31 |
| 1801497920 | Nostaligelia Minkalah Von Goszknovffczevich Heidler | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-11-04 |
| 1952900169 | John P Kelly | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-10-19 |
| 1366041576 | Rachel Bravo | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-10-19 |
| 1588263891 | Sarah V Garza | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-10-19 |
| 1871100776 | Joe T Culver | Counselor | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-09-25 |
| 1700490497 | Beverly Ann Woods | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-09-01 |
| 1912510736 | Blenda Rios | Technician | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-08-31 |
| 1750993671 | National Youth Advocate Program, Inc | Community/Behavioral Health | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-08-21 |
| 1427660877 | Tanika Lakeisha Wills | Home Health Aide | 500 N Rainbow Blvd Ste 300, Las Vegas, NV 89107-1061 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593940 | Ronald Parker | Prevention Professional | 499 Sierra Vista Dr Apt 6, Las Vegas, NV 89169-2754 | 2019-08-09 |
| 1902451792 | Jacqueline Hendricks | Prevention Professional | 4525 Dean Martin Dr Unit 501, Las Vegas, NV 89103-8107 | 2019-08-07 |
| 1588105530 | Jessica Dawn Harty | Prevention Professional | 6299 Tillman Crest Ave, Las Vegas, NV 89139-6868 | 2017-03-10 |
| 1780120642 | Stacey Dillree | Prevention Professional | 2800 W Sahara Ave Ste 8b-c, Las Vegas, NV 89102-4390 | 2017-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611304 | Life Changes, Inc. | Prevention Professional | 1195 Kings Row, Reno, NV 89503-3524 | 2020-02-21 |
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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.