NPIMap

Organization Active NPI

House of Change Behavioral Health Center

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1508265190
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
LCA1785 Issued in MD
Legal business name
HOUSE OF CHANGE BEHAVIORAL HEALTH CENTER
Practice address
5209 York Rd Ste B6
Baltimore, MD 21212-4247
Phone
(410) 323-3544
Fax
(410) 323-3544
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
John G. Barnes
Title
Program Director
Phone
(443) 803-2891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X LCA1785 MD Primary

Addresses

Primary practice location

5209 York Rd Ste B6
Baltimore, MD 21212-4247

Mailing address

5209 York Rd Ste A11
B 6
Baltimore, MD 21212-4217
Phone (410) 323-3544

National Provider Directory

National Provider Directory
Tax ID family
House of Change Behavioral Health Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5209 York Rd
Ste A11
Baltimore, MD 21212

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1508265190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 YORK RD STE A11",
            "address_2": "B 6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124217",
            "telephone_number": "410-323-3544",
            "fax_number": "410-323-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 YORK RD STE B6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124247",
            "telephone_number": "410-323-3544",
            "fax_number": "410-323-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF CHANGE BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-803-2891"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "LCA1785",
            "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 Sep 11, 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.