Active NPI
Takes a Village for Change LLC
- Community/Behavioral Health Agency
- Essex, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TAKES A VILLAGE FOR CHANGE LLC
- Practice address
- 413 Eastern Blvd
Essex, MD 21221-6715 - Phone
- (410) 689-5057
- NPI assigned
- Sep 25, 2023
- Last updated
- Sep 25, 2023
- 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
- Mrs. Laura Shears Coates
- Title
- Owner
- Phone
- (410) 689-5057
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
413 Eastern Blvd
Essex, MD 21221-6715
Mailing address
114 Ferndale Rd
Glen Burnie, MD 21061-2627
Phone (410) 689-5057
National Provider Directory
National Provider Directory- Tax ID family
- Takes a Village for Change LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Essex, MD
- NPI 1316724040
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Essex, MD
- NPI 1497532220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Worker
- Baltimore, MD
- NPI 1720432487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1760261267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 FERNDALE RD",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210612627",
"telephone_number": "410-689-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 EASTERN BLVD",
"city": "ESSEX",
"state": "MD",
"postal_code": "212216715",
"telephone_number": "410-689-5057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAKES A VILLAGE FOR CHANGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "SHEARS COATES",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-689-5057",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.