CHANGE HEALTH SYSTEMS, INC (NPI# 1558414862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558414862 |
Entity Type | Organization |
Organization Name | CHANGE HEALTH SYSTEMS, INC |
Practice Address |
2401 Liberty Heights Ave Suite 4670 Baltimore MD 21215-8019 |
Practice Telephone | 4102331088 |
Practice Fax Number | 4102331087 |
Mailing Telephone | 4102331088 |
Mailing Fax Number | 4102331087 |
Enumeration Date | 2007-01-19 |
Last Update Date | 2010-09-27 |
Authorized Official Name | ISRAEL OJO (CEO) |
Authorized Official Telephone | 4102331088 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 11925 | MD | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 400314400 | 05 | |
MD | 410166900 | 05 | |
MD | 404096100 | 05 | |
MD | 457980100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497139380 | Change Health Systems, Inc | Clinic/Center | 7 N Potomac St, Hagerstown, MD 21740-4805 | 2015-07-10 |
1164932935 | Change Health Systems, Inc | Clinic/Center | 300 W Lexington St, Baltimore, MD 21201-3418 | 2017-10-06 |
1093236200 | Change Health Systems, Inc | Clinic/Center | 300 W Lexington St, Baltimore, MD 21201-3418 | 2017-06-28 |
1619407129 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2017-06-18 |
1902336886 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 300 W Lexington St, Baltimore, MD 21201-3418 | 2017-06-14 |
1134503022 | Change Health Systems, Inc | Clinic/Center | 300 W Lexington St, Baltimore, MD 21201-3418 | 2015-07-10 |
1215319199 | Change Health Systems, Inc | Clinic/Center | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2015-06-26 |
1235526351 | Change Health Systems, Inc | Community/Behavioral Health | 300 W Lexington St, Baltimore, MD 21201-3418 | 2015-04-16 |
1750428470 | Change Health Systems, Inc | Community/Behavioral Health | 2401 Liberty Heights Ave, Suite 4670, Baltimore, MD 21215-8019 | 2007-01-31 |
Street Address |
2401 LIBERTY HEIGHTS AVE SUITE 4670 |
City | BALTIMORE |
State | MD |
Zip Code | 21215-8019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013902485 | Total Health Care Inc | Clinic/Center | 2401 Liberty Heights Ave, Baltimore, MD 21215-8019 | 2005-09-13 |
1932763364 | Blair Hagan | Counselor | 2401 Liberty Heights Ave, Baltimore, MD 21215-8019 | 2019-05-01 |
1467015479 | Mojgan Rahimzadeh | Pharmacist | 2401 Liberty Heights Ave, Baltimore, MD 21215-8019 | 2019-04-16 |
1639677909 | Meagan D. Whitfield | Counselor | 2401 Liberty Heights Ave, Baltimore, MD 21215-8019 | 2018-01-31 |
1730603127 | Taofeek Adekunle Bello | Nurse Practitioner | 2401 Liberty Heights Ave, Baltimore, MD 21215-8019 | 2017-07-27 |
1194175174 | Brenda Santosus | Counselor | 2401 Liberty Heights Ave, Baltimore, MD 21215-8019 | 2016-06-21 |
1669873063 | Carol W Machua | Nurse Practitioner | 2401 Liberty Heights Ave, Baltimore, MD 21215-8019 | 2014-09-05 |
1932455300 | Patricia S Bey | Preventive Medicine | 2401 Liberty Heights Ave, #1015, Baltimore, MD 21215-8019 | 2012-08-03 |
1124308002 | Change Health Systems, Inc. | Community/Behavioral Health | 2401 Liberty Heights Ave, Suite 4670, Baltimore, MD 21215-8019 | 2011-08-23 |
1063702496 | Christa Ann Mcgonigal | Social Worker | 2401 Liberty Heights Ave, Suite 4670, Baltimore, MD 21215-8019 | 2011-04-19 |
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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 Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
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] |
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 |
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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.