TRANSFORMATION HEALTHCARE INC. (NPI# 1861017162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861017162 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATION HEALTHCARE INC. |
| Practice Address |
326 St Paul Place Unit 202 Baltimore MD 21202-1280 |
| Practice Telephone | 4108781084 |
| Practice Fax Number | 4107557797 |
| Mailing Telephone | 4108781084 |
| Mailing Fax Number | 4107557797 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | CALISTA CHANA (CEO) |
| Authorized Official Telephone | 2403743801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912522277 | Transformation Healthcare Inc. | Community/Behavioral Health | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-12 |
| 1972128239 | Transformation Healthcare Inc. | Substance Abuse Rehabilitation Facility | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-12 |
| 1992320261 | Transformation Healthcare Inc. | Community Based Residential Treatment Facility, Mental Illness | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1273 | 2020-06-12 |
| Street Address |
326 ST PAUL PLACE UNIT 202 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912522277 | Transformation Healthcare Inc. | Community/Behavioral Health | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-12 |
| 1972128239 | Transformation Healthcare Inc. | Substance Abuse Rehabilitation Facility | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-12 |
| 1992320261 | Transformation Healthcare Inc. | Community Based Residential Treatment Facility, Mental Illness | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1273 | 2020-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1932734266 | Redeeming Light Wellness Center LLC | Clinic/Center | 1 N Charles St Ste 1503, Baltimore, MD 21201-3724 | 2020-03-06 |
| 1649805078 | Empowering Minds Resource Center | Clinic/Center | 1800 N Charles St Fl 6, Baltimore, MD 21201-5920 | 2020-03-05 |
| 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.