NPIMap

Organization Active NPI

Center for Social Change Inc

  • Assisted Living Facility
  • Windsor Mill, MD
National Provider Identifier
1679078034
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
03AL1191-A Issued in MD
Legal business name
CENTER FOR SOCIAL CHANGE INC
Practice address
7204 Barlow CT
Windsor Mill, MD 21244-1827
Phone
(443) 271-9541
Fax
(410) 796-1201
NPI assigned
Mar 28, 2018
Organization subpart
Yes
Parent organization
CENTER FOR SOCIAL CHANGE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Mrs. Caitlin Johnsen
Title
Associate Director of Programs
Phone
(443) 271-9541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 03AL1191-A MD Primary

Addresses

Primary practice location

7204 Barlow CT
Windsor Mill, MD 21244-1827

Mailing address

6600 Amberton Dr
Elkridge, MD 21075-6216
Phone (443) 271-9541

Other names 1

  • Rising Sun Assisted Living II Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2343822Center for Social Change, Inc Rising Sun Assisted7204 Barlow Court, Windsor Mill, MD 21244Certificate of waiverMay 12, 2028

National Provider Directory

National Provider Directory
Tax ID family
Center for Social Change Inc4 organizations share this tax ID, including this one
Part of
Center for Social Change Inc

Other organizations with this tax ID 3

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1679078034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 AMBERTON DR",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756216",
            "telephone_number": "443-271-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7204 BARLOW CT",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441827",
            "telephone_number": "443-271-9541",
            "fax_number": "410-796-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SOCIAL CHANGE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR SOCIAL CHANGE, INC.",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSEN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF PROGRAMS",
        "authorized_official_telephone_number": "443-271-9541",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "03AL1191-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Sun Assisted Living II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor Mill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.