Active NPI
Life Changes Home Care, LLC
- Home Health Agency
- Raytown, MO
National Provider Identifier
1689043689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LIFE CHANGES HOME CARE, LLC
- Practice address
- 9504 E 63Rd St
Suite 100
Raytown, MO 64133-4948 - Phone
- (816) 399-7439
- NPI assigned
- Sep 19, 2015
- 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
- Nashaunda Evans
- Title
- Owner
- Phone
- (816) 399-7439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
9504 E 63Rd St
Suite 100
Raytown, MO 64133-4948
Mailing address
4621 E 43Rd Ter
Kansas City, MO 64130-2271
Phone (816) 399-7439
National Provider Directory
National Provider DirectoryLocations
9504 E 63rd St
Ste 100
Raytown, MO 64133
Phone (816) 399-7439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442620800000",
"number": "1689043689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 E 43RD TER",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641302271",
"telephone_number": "816-399-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9504 E 63RD ST",
"address_2": "SUITE 100",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641334948",
"telephone_number": "816-399-7439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CHANGES HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-19",
"last_updated": "2015-09-19",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "NASHAUNDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-399-7439"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raytown, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.