NPIMap

Organization Active NPI

Transformation Healthcare Inc

  • Substance Abuse Rehabilitation Facility
  • Columbia, MD
National Provider Identifier
1780391672
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TRANSFORMATION HEALTHCARE INC
Practice address
7060 Oakland Mills Rd Ste LM&N
Columbia, MD 21046-1569
Phone
(240) 374-3801
NPI assigned
Nov 1, 2022
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

7060 Oakland Mills Rd Ste LM&N
Columbia, MD 21046-1569

Mailing address

6801 Oak Hall LN Unit 6462
Columbia, MD 21045-7587
Phone (240) 374-3801

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Gsuite

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201120001692 MD Part B Supplier - Clinic/Group Practice 8921419029 Receives reassigned benefits from 8 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD; Columbia, MD

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

Locations

9139 Red Branch Rd
Ste F
Columbia, MD 21045

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1780391672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 OAK HALL LN UNIT 6462",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210457587",
            "telephone_number": "240-374-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 OAKLAND MILLS RD STE LM&N",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461569",
            "telephone_number": "240-374-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gsuite",
            "affiliation": "N",
            "address_1": "7060 Oakland Mills Rd Ste Lm&n",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210461569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.