NPIMap

Organization Active NPI

Change Health Systems, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1619407129
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
CHANGE HEALTH SYSTEMS, INC
Practice address
2401 Liberty Heights Ave Ste 4670
Baltimore, MD 21215-8032
Phone
(410) 233-1088
NPI assigned
Jun 18, 2017
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CHANGE HEALTH SYSTEMS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Mr. Israel Ojo, MSW
Title
Ceo
Phone
(410) 233-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU Primary

Addresses

Primary practice location

2401 Liberty Heights Ave Ste 4670
Baltimore, MD 21215-8032

Mailing address

2401 Liberty Heights Ave Ste 4670
Baltimore, MD 21215-8032

Other practice location 1

7 N Potomac St
Hagerstown, MD 21740-4805
Phone (240) 420-1850

National Provider Directory

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

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": "1497744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1619407129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LIBERTY HEIGHTS AVE STE 4670",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LIBERTY HEIGHTS AVE STE 4670",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158032",
            "telephone_number": "410-233-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 N Potomac St",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217404805",
            "country_code": "US",
            "telephone_number": "240-420-1850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHANGE HEALTH SYSTEMS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANGE HEALTH SYSTEMS, INC",
        "enumeration_date": "2017-06-18",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "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": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "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 May 31, 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.