NPIMap

Organization Active NPI

Transformation Healthcare Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1255916367
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TRANSFORMATION HEALTHCARE INC.
Practice address
3213 Howard Park Ave
Baltimore, MD 21207-6757
Phone
(410) 878-1085
Fax
(410) 755-7797
NPI assigned
Mar 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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) 878-1084

Specialties & licenses 1

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

Addresses

Primary practice location

3213 Howard Park Ave
Baltimore, MD 21207-6757

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL GSuite

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": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1255916367",
    "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": "410-755-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 HOWARD PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076757",
            "telephone_number": "410-878-1085",
            "fax_number": "410-755-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "CHANA",
        "authorized_official_first_name": "CALISTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-878-1084"
    },
    "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",
            "address_1": "3213 Howard Park Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212076757",
            "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 Mar 10, 2021; 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.