Organization Active NPI

Changing Lives Incorporation

  • Adult Companion
  • Clarksville, TN
National Provider Identifier
1609645407
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
CHANGING LIVES INCORPORATION
Practice address
581 Kathryn CT
Clarksville, TN 37042-7148
Phone
(270) 697-0727
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Ms. Patricia Diane LeggsNPI 1467263038
Title
President/Ceo
Phone
(270) 697-0727

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X Primary

Addresses

Primary practice location

581 Kathryn CT
Clarksville, TN 37042-7148

Mailing address

581 Kathryn CT
Clarksville, TN 37042-7148
Phone (270) 697-0727

Other names 1

  • changing lives Incorporation Former legal business name

National Provider Directory

National Provider Directory

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1609645407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 KATHRYN CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427148",
            "telephone_number": "270-697-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 KATHRYN CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370427148",
            "telephone_number": "270-697-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "LEGGS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "270-697-0727",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "changing lives Incorporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "changing lives Incorporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.