NPIMap

Organization Active NPI

Transformational Recovery

  • Substance Abuse Rehabilitation Facility
  • Baltimore, MD
National Provider Identifier
1801556337
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TRANSFORMATIONAL RECOVERY
Practice address
3410 Chesterfield Ave
Baltimore, MD 21213-1802
Phone
(443) 398-1414
NPI assigned
Dec 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Authorized official

Name
Kenya Conway
Title
Co -Owner
Phone
(443) 398-1414

Specialties & licenses 1

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

Addresses

Primary practice location

3410 Chesterfield Ave
Baltimore, MD 21213-1802

Mailing address

535 Dundalk Ave
Baltimore, MD 21224-2903
Phone (443) 398-1414

Other identifiers 1

IdentifierTypeStateIssuer
211011744OtherMDBHA LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Transformational Recovery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1640304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1801556337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 DUNDALK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242903",
            "telephone_number": "443-398-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 CHESTERFIELD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131802",
            "telephone_number": "443-398-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONAL RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "CO -OWNER",
        "authorized_official_telephone_number": "443-398-1414"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHA LICENSE",
            "identifier": "211011744",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "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 Dec 24, 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.