Organization Active NPI

Life Changing World Outreach Community Development Corporation Inc

  • Assisted Living Facility (Behavioral Disturbances)
  • Memphis, TN
National Provider Identifier
1003607367
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
LIFE CHANGING WORLD OUTREACH COMMUNITY DEVELOPMENT CORPORATION INC
Practice address
952 Decatur St
Memphis, TN 38107-2703
Phone
(901) 779-0424
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brenda A. Futch, PHDNPI 1366290918
Title
Co-Founder /Executive Director
Phone
(901) 487-3954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X

Addresses

Primary practice location

952 Decatur St
Memphis, TN 38107-2703

Mailing address

952 Decatur St
Memphis, TN 38107-2703
Phone (901) 779-0424

Other names 1

  • Life Changing World Out Reach, Inc. Former legal business name

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1003607367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 DECATUR ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381072703",
            "telephone_number": "901-779-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 DECATUR ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381072703",
            "telephone_number": "901-779-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGING WORLD OUTREACH COMMUNITY DEVELOPMENT CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "FUTCH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CO-FOUNDER /EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-487-3954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Changing World Out Reach, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.