CHANGE AGENT NETWORK AFRICA,INC. (NPI# 1720619356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720619356 |
Entity Type | Organization |
Organization Name | CHANGE AGENT NETWORK AFRICA,INC. |
Practice Address |
4801 Sipple Ave Baltimore MD 21206-5605 |
Practice Telephone | 2405240636 |
Mailing Telephone | 2405240636 |
Enumeration Date | 2020-02-02 |
Last Update Date | 2020-02-02 |
Authorized Official Name | EMILE D. ASHWOOD (PROGRAM MANAGER) |
Authorized Official Telephone | 2405240636 |
Authorized Official Credential | MED/EDUCATIONA |
Is Organization Subpart | Y |
Parent Organization Name | CHANGE AGENT NETWORK AFRICA, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | ID | A230229135394 | 01 |
Other Name | Type Code |
---|---|
LuAnn Medical Adult DayCare | Doing Business As Name - Organization |
Street Address |
4801 SIPPLE AVE |
City | BALTIMORE |
State | MD |
Zip Code | 21206-5605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194370601 | Tates Health Care, LLC | Nursing Care | 7303 Beech Ave, Baltimore, MD 21206 | 2019-08-02 |
1962912444 | Meagan Carreira | Occupational Therapy Assistant | 5009 Frankfurt Avenue, Baltimore, MD 21206 | 2017-10-10 |
1821511551 | Anu Healthcare Services Inc | Psychiatry & Neurology | 4809 Belair Road, Baltimore, Maryland, MD 21206 | 2017-07-25 |
1447704648 | Belair Health Solutions, Inc | Counselor | 4825 Belair Rd., Baltimore, MD 21206 | 2016-08-05 |
1053716563 | Paule Kengne | Home Health Aide | 4602 Willshire Ave, Baltimore, MD 21206 | 2014-10-27 |
1821408733 | Shana Gee | Technician | 4238 Seidel Ave, Baltimore, MD 21206 | 2014-04-30 |
1902236524 | Heidi Ann Smith | Physical Therapist | 3910 Chesley Avenue, Baltimore, MD 21206 | 2013-11-18 |
1891138277 | Kenyona N Davis | Social Worker | 5622 Remmell Ave Unit F, Baltimore, MD 21206 | 2013-04-16 |
1497095368 | Aderonke Ogunsua | Home Health Aide | 4430 Moravia Rd Apt10, Baltimore, MD 21206 | 2013-02-28 |
1902173974 | Jennifer Lea Reed | Social Worker | 5901 Benton Heights Avenue, Baltimore, MD 21206 | 2011-11-19 |
Find all providers in zip 21206 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659910636 | Vitality 360 Inc | Clinic/Center | 2442 N Charles St, Baltimore, MD 21218-5113 | 2019-12-23 |
1013435387 | Marcus Motton | Clinic/Center | 5629 Harford Road, Baltimore, MD 21214 | 2017-09-06 |
1619494242 | Baltimore Adult Medical Day Care | Clinic/Center | 1109 Ingleside Ave, Baltimore, MD 21207-4735 | 2017-08-24 |
1669735445 | A Providence Medical Adult Day Care Inc | Clinic/Center | 800 S Caton Ave, Baltimore, MD 21229-4210 | 2012-06-18 |
1053681775 | Golden Days Medical Day Care Inc | Clinic/Center | 4601 Hollins Ferry Rd Ste C, Baltimore, MD 21227-4625 | 2012-01-11 |
1568756807 | Quality Life Day Services Inc | Clinic/Center | 1200 Steuart St Unit 1413, Baltimore, MD 21230-5392 | 2011-06-03 |
1083912406 | Levels Adult Day Care | Clinic/Center | 210 W. 28th St., Baltimore, MD 21211 | 2011-03-09 |
1255642138 | Team 2 | Clinic/Center | 4147 Labyrinth Rd, Baltimore, MD 21215-2202 | 2010-06-25 |
1508028572 | Payne Memorial Outreach, Inc. | Clinic/Center | 1701 Madison Ave, Baltimore, MD 21217-3731 | 2008-06-30 |
1558533364 | Easter Seals Baltimore-washington Region | Clinic/Center | 7301 Dogwood Rd, Baltimore, MD 21244-1805 | 2008-04-01 |
Find all providers in BALTIMORE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.