Organization Active NPI

An Opportunity for Change LLC

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1669055547
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AN OPPORTUNITY FOR CHANGE LLC
Practice address
440 N Luzerne Ave
Baltimore, MD 21224-1116
Phone
(443) 469-7438
Fax
(443) 231-6265
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

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

Addresses

Primary practice location

440 N Luzerne Ave
Baltimore, MD 21224-1116

Mailing address

8307 Philadelphia Rd FL 2
Rosedale, MD 21237-2961
Phone (443) 469-7438

Other practice location 1

3704 E Pratt St
Baltimore, MD 21224-2518
Phone (443) 469-7438

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL opporchange@gmail.com Direct

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1669055547",
    "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": "440 N LUZERNE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241116",
            "telephone_number": "443-469-7438",
            "fax_number": "443-231-6265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3704 E Pratt St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242518",
            "country_code": "US",
            "telephone_number": "443-469-7438",
            "fax_number": "443-231-6265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AN OPPORTUNITY FOR CHANGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "opporchange@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8307 Philadelphia Rd",
            "city": "Rosedale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212372961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 3, 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.