NPIMap

Organization Active NPI

House of Change,Inc.

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1538553540
Registry record updated Mar 27, 2015
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,INC.
Practice address
2002 Boone St
Baltimore, MD 21218-6134
Phone
(410) 323-3500
NPI assigned
Mar 27, 2015
Last updated
Mar 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Mr. John 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

2002 Boone St
Baltimore, MD 21218-6134

Mailing address

5712 Maplehill Rd
Baltimore, MD 21239-3244
Phone (410) 323-3500

National Provider Directory

National Provider Directory
Tax ID family
House of Changeinc4 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.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1538553540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 MAPLEHILL RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393244",
            "telephone_number": "410-323-3500",
            "fax_number": "410-323-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 BOONE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186134",
            "telephone_number": "410-323-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF CHANGE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "443-803-2891",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Mar 27, 2015; 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.