Provider Demographics
NPI:1003287871
Name:ADVOCATES FOR CHANGE
Entity Type:Organization
Organization Name:ADVOCATES FOR CHANGE
Other - Org Name:LIFE CARE MANAGEMENT GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:THERESE
Authorized Official - Last Name:BELLAMY
Authorized Official - Suffix:
Authorized Official - Credentials:CHT
Authorized Official - Phone:562-552-2830
Mailing Address - Street 1:11520 JEFFERSON BLVD
Mailing Address - Street 2:#214
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6141
Mailing Address - Country:US
Mailing Address - Phone:888-539-1399
Mailing Address - Fax:
Practice Address - Street 1:11520 JEFFERSON BLVD
Practice Address - Street 2:#214
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6141
Practice Address - Country:US
Practice Address - Phone:888-539-1399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care