NPIMap

Organization Active NPI

Transformation Healthcare Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Baltimore, MD
National Provider Identifier
1760085096
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TRANSFORMATION HEALTHCARE INC.
Practice address
4606 York Rd Uppr Floor
Baltimore, MD 21212-4707
Phone
(420) 878-1085
Fax
(443) 388-9909
NPI assigned
Nov 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Calista Chana
Title
Ceo
Phone
(410) 878-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

4606 York Rd Uppr Floor
Baltimore, MD 21212-4707

Mailing address

326 Saint Paul St Ste 202
Baltimore, MD 21202-2166
Phone (410) 878-1084

Other practice location 1

3213 Howard Park Ave # 3213
Baltimore, MD 21207-6757
Phone (410) 878-1085

Other practice location 2

326 Saint Paul St Ste 202
Baltimore, MD 21202-2166
Phone (410) 878-1084

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL GSuite
Other URL GSuite
Other URL GSuite

National Provider Directory

National Provider Directory
Tax ID family
Transformation Healthcare Inc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1760085096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SAINT PAUL ST STE 202",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212022166",
            "telephone_number": "410-878-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 YORK RD UPPR FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124707",
            "telephone_number": "420-878-1085",
            "fax_number": "443-388-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3213 Howard Park Ave # 3213",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212076757",
            "country_code": "US",
            "telephone_number": "410-878-1085",
            "fax_number": "410-755-7797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Saint Paul St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212022166",
            "country_code": "US",
            "telephone_number": "410-878-1084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSFORMATION HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "CHANA",
        "authorized_official_first_name": "CALISTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-878-1085"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GSuite",
            "affiliation": "N",
            "address_1": "326 Saint Paul St Ste 202",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212022166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GSuite",
            "affiliation": "N",
            "address_1": "3213 Howard Park Ave # 3213",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212076757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GSuite",
            "affiliation": "N",
            "address_1": "4606 York Rd Uppr Floor",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212124707",
            "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 Aug 16, 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.