Changing Lives Group Home IV , LLC
NPI 1760905178 · Community/Behavioral Health Agency · Greensboro, NC
Changing Lives Group Home IV , LLC is a Community/Behavioral Health Agency organization in Greensboro, NC (NPI 1760905178).
Provider details
- NPI number
- 1760905178
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jaquay Wade, Director(336) 516-6187
Specialties & taxonomies
Agencies
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2017-07-18
- Last updated
- 2020-09-30
- Certified
- 2020-09-30
Frequently asked questions
- What is Changing Lives Group Home IV , LLC's NPI number?
- Changing Lives Group Home IV , LLC's National Provider Identifier (NPI) is 1760905178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changing Lives Group Home IV , LLC?
- Changing Lives Group Home IV , LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Changing Lives Group Home IV , LLC located?
- Changing Lives Group Home IV , LLC's practice location on file with NPPES is 1404 Cushing St, Greensboro, NC 27405-3300.
- What is Changing Lives Group Home IV , LLC's phone number?
- The practice phone number listed in the NPPES registry for Changing Lives Group Home IV , LLC is (336) 516-6187.
- Who is the authorized official for Changing Lives Group Home IV , LLC?
- The authorized official listed on Changing Lives Group Home IV , LLC'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 Group Home IV , LLC's NPI active?
- Yes — Changing Lives Group Home IV , LLC's NPI (1760905178) is active in the NPPES registry as of the last update on 2020-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.