Changing Lives Networks Inc
NPI 1720790447 · Mental Illness Community Based Residential Treatment Facility · Winston Salem, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Changing Lives Networks Inc is a Mental Illness Community Based Residential Treatment Facility organization in Winston Salem, NC (NPI 1720790447).
Provider details
- NPI number
- 1720790447
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jaquay Wade, Director(336) 516-6187
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-12-14
- Last updated
- 2023-02-21
- Certified
- 2023-02-21
Frequently asked questions
- What is Changing Lives Networks Inc's NPI number?
- Changing Lives Networks Inc's National Provider Identifier (NPI) is 1720790447, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changing Lives Networks Inc?
- Changing Lives Networks Inc is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Changing Lives Networks Inc located?
- Changing Lives Networks Inc's practice location on file with NPPES is 1020 Brookstown Ave Ste 5&6, Winston Salem, NC 27101-2523.
- What is Changing Lives Networks Inc's phone number?
- The practice phone number listed in the NPPES registry for Changing Lives Networks Inc is (336) 293-6535.
- Does Changing Lives Networks Inc accept Medicare?
- Changing Lives Networks Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Changing Lives Networks Inc?
- The authorized official listed on Changing Lives Networks Inc's NPPES record is Jaquay Wade, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Changing Lives Networks Inc's NPI active?
- Yes — Changing Lives Networks Inc's NPI (1720790447) is active in the NPPES registry as of the last update on 2023-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.