Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Changing Lives Group Home IV , LLC

Organization Community/Behavioral Health Agency · NPI 1760905178

Changing Lives Group Home IV , LLC is a Community/Behavioral Health Agency in Greensboro, North Carolina. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1404 Cushing St
Greensboro, NC 27405-3300
Phone: (336) 516-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Adult Care Home Facility Taxonomy 311ZA0620X

Record details

NPI number1760905178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaquay Wade — Director · (336) 516-6187
NPI enumeratedJuly 18, 2017
Last updated in NPPESSeptember 30, 2020
Certification dateSeptember 30, 2020
Mailing address823 Day Ave, Burlington, NC 27217-2505

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