# LIFE CHANGES HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689043689
- **Authorized official:** NASHAUNDA EVANS (OWNER)
- **Authorized official phone:** (816) 399-7439

## Contact information

- **Practice address:** 9504 E 63RD ST, SUITE 100, RAYTOWN, MO 64133-4948
- **Practice address phone:** (816) 399-7439
- **Mailing address:** 4621 E 43RD TER, KANSAS CITY, MO 64130-2271
- **Mailing address phone:** (816) 399-7439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2015
- **Last updated:** 09/19/2015