Organization Active NPI

Changing Lives Home Care Assistance Inc

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1740954239
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHANGING LIVES HOME CARE ASSISTANCE INC
Practice address
2 Cityplace Dr Ste 200
Saint Louis, MO 63141-7055
Phone
(314) 489-5552
Fax
(314) 812-4704
NPI assigned
Aug 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Kelley Pearson, LPN
Title
Owner/Operator
Phone
(314) 489-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2 Cityplace Dr Ste 200
Saint Louis, MO 63141-7055

Mailing address

1839 Rockmoor Dr
Chesterfield, MO 63017-5414
Phone (314) 489-5552

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1740954239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 ROCKMOOR DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175414",
            "telephone_number": "314-489-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CITYPLACE DR STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417055",
            "telephone_number": "314-489-5552",
            "fax_number": "314-812-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES HOME CARE ASSISTANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "314-489-5552",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.