Life Changez, Inc
NPI 1912020637 · Mental Illness Community Based Residential Treatment Facility · Fuquay Varina, NC
Life Changez, Inc is a Mental Illness Community Based Residential Treatment Facility organization in Fuquay Varina, NC (NPI 1912020637).
Provider details
- NPI number
- 1912020637
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rene Whitehead, Owner/Directo(919) 803-2799
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense MHL-092-795 (NC)
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Former legal business name
- Life Skills Independent Care
- Former legal business name
- Life Skills Independent Care
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2020-07-03
- Certified
- 2020-07-03
Frequently asked questions
- What is Life Changez, Inc's NPI number?
- Life Changez, Inc's National Provider Identifier (NPI) is 1912020637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Changez, Inc?
- Life Changez, Inc is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Life Changez, Inc located?
- Life Changez, Inc's practice location on file with NPPES is 800 Perry Howard Rd, Fuquay Varina, NC 27526-1779.
- What is Life Changez, Inc's phone number?
- The practice phone number listed in the NPPES registry for Life Changez, Inc is (919) 577-0021.
- Who is the authorized official for Life Changez, Inc?
- The authorized official listed on Life Changez, Inc's NPPES record is Rene Whitehead, Owner/Directo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Changez, Inc's NPI active?
- Yes — Life Changez, Inc's NPI (1912020637) is active in the NPPES registry as of the last update on 2020-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.