TRANSFORMATION HEALTHCARE INC. (NPI# 1972128239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972128239 |
| 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 | 2020-06-12 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | CALISTA CHANA (CEO) |
| Authorized Official Telephone | 2403743801 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRANSFORMATION HEALTHCARE 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017162 | Transformation Healthcare Inc. | Psychiatry & Neurology | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-11 |
| 1912522277 | Transformation Healthcare Inc. | Community/Behavioral Health | 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 |
|---|---|---|---|---|
| 1861017162 | Transformation Healthcare Inc. | Psychiatry & Neurology | 326 St Paul Place, Unit 202, Baltimore, MD 21202-1280 | 2020-06-11 |
| 1912522277 | Transformation Healthcare Inc. | Community/Behavioral Health | 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 | 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 |
| 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 |
| 1619407129 | Change Health Systems, Inc | Substance Abuse Rehabilitation Facility | 2401 Liberty Heights Ave Ste 4670, Baltimore, MD 21215-8032 | 2017-06-18 |
| 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.