NPIMap

Organization Active NPI

House of Change,Inc.

Doing business as House of Change Behavioral Health Center

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1750047338
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOUSE OF CHANGE,INC.
Doing business as
House of Change Behavioral Health Center
Practice address
1607 Edmondson Ave
Baltimore, MD 21223-1215
Phone
(410) 366-3500
NPI assigned
Nov 9, 2021
Organization subpart
Yes
Parent organization
HOUSE OF CHANGE,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Vanessa Lyle
Title
Billing Specialist / Credential SPC
Phone
(410) 500-0712

Specialties & licenses 1

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

Addresses

Primary practice location

1607 Edmondson Ave
Baltimore, MD 21223-1215

Mailing address

5209 York Rd Ste B6
Baltimore, MD 21212-4247
Phone (410) 366-3500

Other names 1

  • House of Change Behavioral Health Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
House of Change Behavioral Health Center4 organizations share this tax ID, including this one
Part of
House of Change Behavioral Health Center

Other organizations with this tax ID 3

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

Locations

5209 York Rd
Ste B6
Baltimore, MD 21212
Phone (410) 323-3544

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1750047338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 YORK RD STE B6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124247",
            "telephone_number": "410-366-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 EDMONDSON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212231215",
            "telephone_number": "410-366-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF CHANGE,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE OF CHANGE,INC.",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "LYLE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "BILLING SPECIALIST / CREDENTIAL SPC",
        "authorized_official_telephone_number": "410-500-0712"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Records",
            "address_1": "1607 Edmondson Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212231215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "House of Change Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 9, 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.