CHANGE HEALTH SYSTEMS INC (NPI# 1841442324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841442324 |
Entity Type | Organization |
Organization Name | CHANGE HEALTH SYSTEMS INC |
Practice Address |
2401 Liberty Heights Ave Ste 4670 Suite 4670 Baltimore MD 21215-8019 |
Practice Telephone | 4102331088 |
Practice Fax Number | 4102331087 |
Mailing Telephone | 4102331088 |
Mailing Fax Number | 4102331087 |
Enumeration Date | 2008-10-16 |
Last Update Date | 2011-08-03 |
Authorized Official Name | MR. ISRAEL OJO (CEO) |
Authorized Official Telephone | 4102331088 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | 21570 | MD | Respite Care Facility |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 404096100 | 05 | |
MD | 5457980100 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265761753 | Change Health Systems Inc | Community/Behavioral Health | 44 N Potomac St, 101, Hagerstown, MD 21740-4855 | 2009-12-14 |
1588945182 | Change Health Systems Inc | Community/Behavioral Health | 44 N Potomac St, 101, Hagerstown, MD 21740-4855 | 2011-09-09 |
1669702312 | Change Health Systems Inc | Early Intervention Provider Agency | 44 N Potomac St, Suite 101, Hagerstown, MD 21740-4855 | 2009-12-31 |
1356595383 | Change Health Systems Inc | Early Intervention Provider Agency | 2401 Liberty Heights Ave, Suite 4670, Baltimore, MD 21215-8019 | 2008-11-04 |
Street Address |
2401 LIBERTY HEIGHTS AVE STE 4670 SUITE 4670 |
City | BALTIMORE |
State | MD |
Zip Code | 21215-8019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1619407129 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2017-06-18 |
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 | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
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1639554363 | Imelda Anyaoha | Respite Care | 3208 Hunting Horn Ln, Upper Marlboro, MD 20774-7548 | 2015-07-23 |
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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.