CHANGE HEALTH SYSTEMS, INC (NPI# 1619407129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619407129 |
| Entity Type | Organization |
| Organization Name | CHANGE HEALTH SYSTEMS, INC |
| Practice Address |
2401 Liberty Heights Ave Ste 4670 Baltimore MD 21215-8032 |
| Practice Telephone | 4102331088 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. ISRAEL OJO (CEO) |
| Authorized Official Telephone | 4102331088 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | Y |
| Parent Organization Name | CHANGE HEALTH SYSTEMS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 W Lexington St, Baltimore, MD 212013418 | 4102331088 | |
| 7 N Potomac St, Hagerstown, MD 217404805 | 2404201850 |
| 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 |
| 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 |
| 1558414862 | Change Health Systems, Inc | Community/Behavioral Health | 2401 Liberty Heights Ave, Suite 4670, Baltimore, MD 21215-8019 | 2007-01-19 |
| Street Address |
2401 LIBERTY HEIGHTS AVE STE 4670 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841442324 | Change Health Systems Inc | Respite Care | 2401 Liberty Heights Ave Ste 4670, Suite 4670, Baltimore, MD 21215-8019 | 2008-10-16 |
| 1518524305 | Catherine Marner | Counselor | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2019-05-28 |
| 1497310734 | Margaret Alexandre-marc | Counselor | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2019-05-02 |
| 1215319199 | Change Health Systems, Inc | Clinic/Center | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2015-06-26 |
| 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 | 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 |
| 1609310101 | Contemporary Family Services, Inc | Substance Abuse Rehabilitation Facility | 3455 Wilkens Ave, Suite 308/208, Baltimore, MD 21229-5213 | 2016-12-19 |
| 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.