Active NPI
Changing Lives Home Care Assistance Inc
- Home Health Agency
- Saint Louis, MO
National Provider Identifier
1740954239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.