NPIMap

Organization Active NPI

Change Health Systems Inc

  • Early Intervention Provider Agency
  • Baltimore, MD
National Provider Identifier
1356595383
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
20579 Issued in MD
Legal business name
CHANGE HEALTH SYSTEMS INC
Practice address
2401 Liberty Heights Ave
Suite 4670
Baltimore, MD 21215-8019
Phone
(410) 233-1088
Fax
(410) 233-1087
NPI assigned
Nov 4, 2008
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Ms. Israel Ojo
Title
Ceo
Phone
(410) 233-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 20579 MD Primary

Addresses

Primary practice location

2401 Liberty Heights Ave
Suite 4670
Baltimore, MD 21215-8019

Mailing address

2401 Liberty Heights Ave
Suite 4670
Baltimore, MD 21215-8019
Phone (410) 233-1088

Other identifiers 2

IdentifierTypeStateIssuer
404096100MedicaidMD
5457980100MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Change Health Systems Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1356595383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LIBERTY HEIGHTS AVE",
            "address_2": "SUITE 4670",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158019",
            "telephone_number": "410-233-1088",
            "fax_number": "410-233-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LIBERTY HEIGHTS AVE",
            "address_2": "SUITE 4670",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158019",
            "telephone_number": "410-233-1088",
            "fax_number": "410-233-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-233-1088",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "MD",
            "license": "20579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404096100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5457980100",
            "state": "MD"
        }
    ],
    "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 Sep 27, 2010; 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.