MEDICARE: CHANGE HAPPENS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency	55573	TX

General Provider Information

NPI Number	:	1407132533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHANGE HAPPENS

Provider Business Mailing Address
First Line	:	3353 ELGIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-3531
Country	:	US
Telephone Number	:	713-374-1200
Fax Number	:	713-651-8045

Provider Business Practice Location Address
First Line	:	3353 ELGIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-3531
Country	:	US
Telephone Number	:	713-374-1200
Fax Number	:	713-651-8045

Authorized Official
Title or Position	:	CEO/FOUNDER
Name	:	MR. LESLIE SMITH II
Credential	:
Telephone Number	:	713-374-1200

Provider Enumeration Date	:	11/03/2011
Last Update Date	:	11/03/2011

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Directions to “CHANGE HAPPENS ” Practice Location

Language	Start Address	Practice Location

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