Active NPI
Change a Lifetime Companies Inc
- Adult Companion
- Stratford, CT
National Provider Identifier
1235305665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- CHANGE A LIFETIME COMPANIES INC
- Practice address
- 168 Wainwright Place
Stratford, CT 06614 - Phone
- (203) 345-8992
- Fax
- (203) 345-8992
- NPI assigned
- May 6, 2008
- Last updated
- Apr 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Veronica K Wilson
- Title
- Operations Director
- Phone
- (203) 345-8992
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Adult Companion | 372600000X | Primary | ||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
168 Wainwright Place
Stratford, CT 06614
Mailing address
168 Wainwright Place
Stratford, CT 06614
Phone (203) 345-8992
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1235305665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 WAINWRIGHT PLACE",
"city": "STRATFORD",
"state": "CT",
"postal_code": "06614",
"telephone_number": "203-345-8992",
"fax_number": "203-345-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 WAINWRIGHT PLACE",
"city": "STRATFORD",
"state": "CT",
"postal_code": "06614",
"telephone_number": "203-345-8992",
"fax_number": "203-345-8992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGE A LIFETIME COMPANIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-06",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "VERONICA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "203-345-8992",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.