NPIMap

Organization Active NPI

Transformation Health, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1043803299
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRANSFORMATION HEALTH, LLC
Practice address
312 Martin Luther King Jr Blvd
Suites 103 & 300
Baltimore, MD 21201-1221
Phone
(443) 759-9592
Fax
(443) 817-0988
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monica Laney BoddieNPI 1396977872
Title
Ceo
Phone
(443) 224-3002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

312 Martin Luther King Jr Blvd
Suites 103 & 300
Baltimore, MD 21201-1221

Mailing address

4083 Dorseys Ridge SQ
Ellicott City, MD 21043-5469
Phone (443) 224-3002

National Provider Directory

National Provider Directory
Tax ID family
Transformation Health LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781308800000",
    "number": "1043803299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 DORSEYS RIDGE SQ",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210435469",
            "telephone_number": "443-224-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITES 103 & 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011221",
            "telephone_number": "443-759-9592",
            "fax_number": "443-817-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A",
        "authorized_official_last_name": "BODDIE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LANEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-224-3002"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.