TRANSFORMING LIVES WITH CARE, INC (NPI# 1184132433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184132433 |
| Entity Type | Organization |
| Organization Name | TRANSFORMING LIVES WITH CARE, INC |
| Practice Address |
2821 Pinewood Ave Baltimore MD 21214-1228 |
| Practice Telephone | 4436825807 |
| Mailing Telephone | 4436825807 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-20 |
| Authorized Official Name | MR. OMORUYI EPHRAIM K. OKUNDAYE (CEO / CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4436825807 |
| Authorized Official Credential | MSW, LCSW, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 17618 | MD | Agencies |
| N | 251S00000X | Community/Behavioral Health | 17618 | MD | Agencies |
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
17618 | MD | Residential Treatment Facilities |
| Street Address |
2821 PINEWOOD AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21214-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544034 | Emani Williams | Behavior Technician | 4606 Walker Avenue, Baltimore, MD 21214 | 2019-08-22 |
| 1457831166 | Smith Podiatry & Associates LLC | Clinic/Center | 5610 Harford Rd Ste A, Baltimore, MD 21214 | 2018-08-21 |
| 1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
| 1528432143 | Beverly Jean Tellis | Social Worker | 6310 Harford Road, Baltimore, MD 21214 | 2015-11-19 |
| 1972848745 | Amy M Young | Occupational Therapist | 5908 Edna Ave, Baltimore, MD 21214 | 2012-12-05 |
| 1306112693 | The Good Samaritan Hospital of Maryland, Inc. | Clinic/Center | 4700 Hartford Road, Baltimore, MD 21214 | 2012-03-30 |
| 1578731824 | Rebecca Michele Green | Speech-Language Pathologist | 5302 Plymouth Road, Baltimore, MD 21214 | 2008-02-20 |
| 1891975918 | Karen Schmidt | Occupational Therapist | 604 Hartford Rd., Baltimore, MD 21214 | 2007-11-06 |
| 1972790533 | Patricia Mary Marchetti Smith | Speech-Language Pathologist | 2709 Woodsdale Avenue, Baltimore, MD 21214 | 2007-09-27 |
| 1780896290 | Scott David Hubert | Dentist | 5810 Harford Rd, Baltimore, MD 21214 | 2007-05-04 |
| Find all providers in zip 21214 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697640 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-22 |
| 1215548573 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St Unit 2a2b, Baltimore, MD 21225-1773 | 2020-08-11 |
| 1124223979 | Collington Square Non Profit Corporation | Substance Abuse Rehabilitation Facility | 1211 N Chester St, Baltimore, MD 21213-3330 | 2007-06-20 |
| 1316546823 | Peaceful Minds Residential Services | Substance Abuse Rehabilitation Facility | 3704 S Hanover St, Baltimore, MD 21225-1773 | 2020-10-26 |
| 1972128239 | Transformation Healthcare Inc. | Substance Abuse Rehabilitation Facility | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-12 |
| 1376182683 | Reach LLC | Substance Abuse Rehabilitation Facility | 1 N Charles St Ste 222, Baltimore, MD 21201-3710 | 2020-01-03 |
| 1285277343 | Inspiring Change Mental Health Services, LLC. | Substance Abuse Rehabilitation Facility | 4654 York Rd, Baltimore, MD 21212-4726 | 2019-10-22 |
| 1043784184 | Helping Our Youth Achieve Psychiatric Rehabilitation Program | Substance Abuse Rehabilitation Facility | 5525 Belair Rd, Baltimore, MD 21206-3654 | 2019-01-11 |
| 1598272312 | All Walks of Life, LLC | Substance Abuse Rehabilitation Facility | 107 E 25th St, Baltimore, MD 21218-5213 | 2018-01-02 |
| 1619407129 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2017-06-18 |
| Find all providers in BALTIMORE | ||||
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| 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.