CHANGING LIVES AT HOME MENTAL HEALTH SERVICES,INC


Address: 4805 Garrison Blvd, Baltimore, MD 21215-5695
Phone: 4438692600

CHANGING LIVES AT HOME MENTAL HEALTH SERVICES,INC (NPI# 1003469974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003469974
Entity Type Organization
Organization Name CHANGING LIVES AT HOME MENTAL HEALTH SERVICES,INC
Practice Address 4805 Garrison Blvd
Baltimore
MD 21215-5695
Mailing Address 3606 Belle Ave
Baltimore
MD 21215-6102
Practice Telephone 4438692600
Mailing Telephone 4434639523
Enumeration Date 2019-07-19
Last Update Date 2019-07-19
Authorized Official Name LATRILL BRYANT-BASS (DIRECTOR)
Authorized Official Telephone 4438692600
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider/Organization Names

Other Name Type Code
Changing Lives at Home ABA Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1710491287 Changing Lives At Home Mental Health Services,inc Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2017-11-20
1912354184 Changing Lives At Home Mental Health Services,inc Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2016-05-18

Office Location

Street Address 4805 GARRISON BLVD
City BALTIMORE
State MD
Zip Code 21215-5695

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679787063 Zachary Dean Press Dentist 4805 Garrison Blvd, Baltimore, MD 21215-5641 2007-05-09
1427534833 Ashley L Collins Social Worker 4805 Garrison Blvd, Baltimore, MD 21215-5695 2018-07-18
1710491287 Changing Lives At Home Mental Health Services,inc Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2017-11-20
1831644459 Cardiopulmonary Services, LLC Respiratory Therapist, Certified 4805 Garrison Blvd, Suite 200, Baltimore, MD 21215-5695 2016-08-24
1912354184 Changing Lives At Home Mental Health Services,inc Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2016-05-18
1699150144 Changing Lives At Home Inc Mental Health Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2015-07-27
1740611623 Changing Lives At Home, Inc. Mental Health Community/Behavioral Health 4805 Garrison Blvd, Baltimore, MD 21215-5695 2013-12-03
1992055271 Obinna Obiejemba Nurse Practitioner 4805 Garrison Blvd, Baltimore, MD 21215-5695 2012-09-14
1841517224 Antone Wright Respiratory Therapist, Registered 4805 Garrison Blvd, Suite 200, Baltimore, MD 21215-5695 2010-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639736796 Talal Abalkhail Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 2019-05-23
1235795410 Bilal Khan Student in an Organized Health Care Education/Training Program 2041 West Belvedere Avenue, Balitmore, MD 21215 2019-05-14
1669036067 Nasir M Alhamdan Student in an Organized Health Care Education/Training Program Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 2019-05-01
1851863971 Brittany Michelle O'neill Specialist/Technologist Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 2018-12-31
1881164432 Emily Gamma Social Worker 4810 Seton Drive, Baltimore, MD 21215 2018-11-27
1518440478 Benson Baby Physical Therapist 2525west Belveder Ave, Baltimore, MD 21215 2018-09-07
1609360817 Bonnie Kahler Clinical Nurse Specialist 2401 Belvedere Avenue, Baltimore, MD 21215 2018-06-20
1932693843 Kelley Monica Cohill Social Worker Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 2018-06-15
1497245609 Kimberly Beth Koerner Social Worker 2401 W. Belvedere Avenue, Baltimore, MD 21215 2018-05-14
1184113078 Mary Jo Kozel Registered Nurse 2401 West Belvedere, Baltimore, MD 21215 2018-05-07
Find all providers in zip 21215

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366043127 Ch Mh Services (md), LLC Community/Behavioral Health 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 2020-11-06
1568062099 Borderless Healthcare Services, LLC Community/Behavioral Health 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 2020-10-26
1982211322 Brenda Bivens Wilson Community/Behavioral Health 1726 Bolton St, Baltimore, MD 21217-4904 2020-09-29
1366056855 The Wel Foundation, LLC. Community/Behavioral Health 5858 Belair Rd, Baltimore, MD 21206-2661 2020-09-02
1679185177 Center for Youth and Families Inc Community/Behavioral Health 6304 Elinore Ave, Baltimore, MD 21206-1721 2020-08-18
1457977100 Apex Wellness Group, LLC Community/Behavioral Health 118 E 25th St Unit 2, Baltimore, MD 21218-5281 2020-06-18
1922622737 Johns Hopkins Bayview Medical Center, Inc. Community/Behavioral Health 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 2020-06-08
1669093829 Upcoming Enterprize Corporation Community/Behavioral Health 6615 Reisterstown Rd Ste Ll2, Baltimore, MD 21215-2686 2020-04-29
1922629344 Providing Empowerment Advocacy & Social Skills Community/Behavioral Health 2361 Flax Ter, Baltimore, MD 21209-4625 2020-04-27
1801415153 New Life Family Services LLC Community/Behavioral Health 3010 Ridgewood Ave Ste 210, Baltimore, MD 21215-6211 2020-04-15
Find all providers in BALTIMORE

Competitor

Search similar providers

City BALTIMORE
Zip Code 21215

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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