Organization Active NPI

Change Corporation

  • Community/Behavioral Health Agency
  • Temple Hills, MD
National Provider Identifier
1760002182
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHANGE CORPORATION
Practice address
6320 Allentown Rd
Temple Hills, MD 20748-2609
Phone
(301) 541-0658
NPI assigned
Apr 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Lawonne Proctor
Title
President
Phone
(301) 741-1316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6320 Allentown Rd
Temple Hills, MD 20748-2609

Mailing address

6320 Allentown Rd
Temple Hills, MD 20748-2609
Phone (301) 541-0658

National Provider Directory

National Provider Directory

Locations

6320 Allentown Rd
Temple Hills, MD 20748
Phone (301) 541-0658

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1760002182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 ALLENTOWN RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482609",
            "telephone_number": "301-541-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 ALLENTOWN RD",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207482609",
            "telephone_number": "301-541-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "LAWONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-741-1316"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.