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General NPI Number Information
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NPI Number | 1962352138
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Entity Type | Organization
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Legal Business Name | CHANGING LIVES HOMECARE LLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1605 WEXFORD ST.
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City | MOBILE
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State | AL
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Zip | 36605
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Country | US
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Telephone | 251-468-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 E I65 SERVICE RD S STE 104
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City | MOBILE
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State | AL
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Zip | 36606-3101
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Country | US
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Telephone | 251-468-1926
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | EARLICIA LATEASH THOMAS
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Credential |
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Telephone | 251-468-1926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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