Provider Demographics
NPI:1376433789
Name:THE FAMILY OF CHANGE 6 L.L.C.
Entity type:Organization
Organization Name:THE FAMILY OF CHANGE 6 L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EBONIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-202-1382
Mailing Address - Street 1:303 N STADIUM BLVD # 221
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-1493
Mailing Address - Country:US
Mailing Address - Phone:888-718-4382
Mailing Address - Fax:
Practice Address - Street 1:303 N STADIUM BLVD # 221
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-1493
Practice Address - Country:US
Practice Address - Phone:888-718-4382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE FAMILY OF CHANGE 6 L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-07
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty