Changing Lives Group, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CHANGING LIVES GROUP, LLC

Practice address

10500 Clear Lake Loop Apt 105
Fort Myers, FL 33908-2395

Phone

(941) 883-1076

NPI assigned

May 4, 2022

Organization subpart

No

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

Authorized official

Name

Annie D Williams

Title

Manager/Owner

Phone

(941) 883-1076

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1679218556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 BRAMAN AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017302",
            "telephone_number": "941-883-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 CLEAR LAKE LOOP APT 105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339082395",
            "telephone_number": "941-883-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "941-883-1076"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha Chandran
• Lynn Marie Chaney, LCSW
• Alexander Chang, CRNA
• Tatiana Chang
• Yandy Chang, MD
• Changing Tides Home Health, Inc. (Comprehensive Home Care of SW FL)
• Debra Anne Channer, PHARMD
• Deborah Wince Chapa, APRN
• Dennis Chapman
• Jessica Ann Chapman, OTD, OTR/L

• In Home Supportive Care Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• In Home Supportive Care Agency in Florida

• 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.