Active NPI
An Opportunity for Change LLC
- Substance Abuse Rehabilitation Facility
- Baltimore, MD
National Provider Identifier
1669055547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | opporchange@gmail.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- An Opportunity for Change LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Rosedale, MD
- NPI 1538701669
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.