Organization Active NPI

Changing Lives Together, LLC

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1497449417
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHANGING LIVES TOGETHER, LLC
Practice address
5438 York Rd Ste B1
Baltimore, MD 21212-3842
Phone
(410) 277-5177
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Robert Lewis
Title
Owner/Ceo
Phone
(410) 277-5177

Specialties & licenses 1

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

Addresses

Primary practice location

5438 York Rd Ste B1
Baltimore, MD 21212-3842

Mailing address

5438 York Rd Ste B1
Baltimore, MD 21212-3842
Phone (410) 277-5177

National Provider Directory

National Provider Directory

Locations

5438 York Rd
Ste B1
Baltimore, MD 21212
Phone (410) 277-5177

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1497449417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 YORK RD STE B1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123842",
            "telephone_number": "410-277-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 YORK RD STE B1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123842",
            "telephone_number": "410-277-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING LIVES TOGETHER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-277-5177"
    },
    "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 5, 2023; 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.