CHANGING MINDS/CHANGING LIVES HOME MANAGEMENT & LIFE COACHING CENTER (NPI# 1255879680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255879680 |
| Entity Type | Organization |
| Organization Name | CHANGING MINDS/CHANGING LIVES HOME MANAGEMENT & LIFE COACHING CENTER |
| Practice Address |
6300 Edward Dr Clinton MD 20735-4135 |
| Practice Telephone | 5712416966 |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | BRENDA JONES (COUNSELOR/LIFE COACH) |
| Authorized Official Telephone | 5712416966 |
| Authorized Official Credential | CERTIFIED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
6300 EDWARD DR |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497291793 | Brenda E Jones | Counselor | 6300 Edward Dr, Clinton, MD 20735-4135 | 2017-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336599513 | Kings Royal Care | Point of Service | 8141 Lopez Dr, Clinton, WA 98236-9236 | 2016-06-17 |
| 1275730749 | Mountain View Medical, LLC | Point of Service | 2122 West 1800 North Pmb 413, Clinton, UT 84015 | 2007-06-28 |
| 1770788630 | Angelwood Assisted Living & Memory Care, LLC | Point of Service | 3200 Hayes Ave, Clinton, OK 73601-3514 | 2007-06-19 |
| 1174963581 | Quantum Health Spa | Point of Service | 15 E Main St, Clinton, NJ 08809-1400 | 2013-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434960 | Annette Marie Shelton | Point of Service | 12901 Laurel Bowie Rd Apt 202, Laurel, MD 20708-2203 | 2020-07-08 |
| 1053942359 | Patricia's Place Inc | Point of Service | 1209 Argyle Ave, Baltimore, MD 21217-2928 | 2020-01-27 |
| 1073170213 | Global Family Services, Inc. | Point of Service | 7406 24th Ave, Hyattsville, MD 20783-2614 | 2019-05-23 |
| 1487120333 | Chelsea F Mitchell | Point of Service | 3231 Superior Ln Ste A21, Bowie, MD 20715-1934 | 2018-10-18 |
| 1932692449 | Ambient Bodyworks: Corporate Massage and Mobil Spa | Point of Service | 4718 Eiderdown Ct, Owings Mills, MD 21117-6222 | 2018-06-08 |
| 1699202259 | Jacqueline Iverson | Point of Service | 4400 Stamp Rd Ste 104, Temple Hills, MD 20748-6727 | 2017-05-15 |
| 1770950313 | Hsw Family Services Inc | Point of Service | 6604 Belcrest Rd Apt A, Hyattsville, MD 20782-8328 | 2015-08-31 |
| 1457728487 | Eelon Wellness and Massage | Point of Service | 6414 Bear Ct, #207, Waldorf, MD 20603-4301 | 2015-08-25 |
| 1851783260 | Regional Diagnostic Imaging | Point of Service | 14717 Valiant Ter, Burtonsville, MD 20866-1917 | 2015-02-22 |
| 1144628934 | Zainali Orthodonics | Point of Service | 490 Prospect Blvd, Suite C, Frederick, MD 21701-6430 | 2014-12-11 |
| Find all providers with the same taxonomy | ||||
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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.