NPIMap

Organization Active NPI

Transformation Healthcare Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1184390668
Registry record updated Apr 14, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TRANSFORMATION HEALTHCARE INC
Practice address
1103 E Preston St
Baltimore, MD 21202-5621
Phone
(240) 374-3801
Fax
(443) 388-9909
NPI assigned
Aug 17, 2021
Last updated
Apr 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Calista Chana
Title
Ceo
Phone
(410) 878-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1103 E Preston St
Baltimore, MD 21202-5621

Mailing address

326 Saint Paul St Ste 202
Baltimore, MD 21202-2166
Phone (240) 374-3801

Other practice location 1

4606 York Rd Uppr Floor
Baltimore, MD 21212-4707
Phone (410) 878-1085 ext. 102

Other practice location 2

1101 E Preston St
Baltimore, MD 21202-5621
Phone (410) 878-1085 ext. 102

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL GSuite Other

National Provider Directory

National Provider Directory
Tax ID family
Transformation Healthcare Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1184390668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SAINT PAUL ST STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022166",
            "telephone_number": "240-374-3801",
            "fax_number": "443-388-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E PRESTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025621",
            "telephone_number": "240-374-3801",
            "fax_number": "443-388-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4606 York Rd Uppr Floor",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212124707",
            "country_code": "US",
            "telephone_number": "410-878-1085 x102",
            "fax_number": "443-388-9909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 E Preston St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212025621",
            "country_code": "US",
            "telephone_number": "410-878-1085 x102",
            "fax_number": "443-388-9909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMATION HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "CHANA",
        "authorized_official_first_name": "CALISTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-878-1085"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GSuite",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "GSuite",
            "address_1": "1101 E Preston St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212025621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 14, 2022; 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.