An Opportunity for Change LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AN OPPORTUNITY FOR CHANGE LLC

Practice address

8307 Philadelphia Rd FL 2
Rosedale, MD 21237-2961

Phone

(443) 469-7438

Fax

(443) 231-6265

NPI assigned

Oct 10, 2019

Last updated

May 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Michael Barboza

Title

President

Phone

(443) 469-7438

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

An Opportunity for Change LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• An Opportunity for Change LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
  • NPI 1669055547
  NPD tax ID

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1538701669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 PHILADELPHIA RD FL 2",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372961",
            "telephone_number": "443-469-7438",
            "fax_number": "443-231-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 PHILADELPHIA RD FL 2",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372961",
            "telephone_number": "443-469-7438",
            "fax_number": "443-231-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN OPPORTUNITY FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "BARBOZA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-469-7438",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "opporchange@gmail.com",
            "affiliation": "N",
            "address_1": "8307 Philadelphia Rd",
            "city": "Rosedale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212372961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.