1902241250 NPI number — CHANGING LIVES ADULT & YOUTH SERVICES

Table of content: (NPI 1902241250)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902241250 NPI number — CHANGING LIVES ADULT & YOUTH SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHANGING LIVES ADULT & YOUTH SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902241250
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4810 SAINT BARNABAS RD STE 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEMPLE HILLS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20748-4604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-541-0963
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4810 SAINT BARNABAS RD STE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLE HILLS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20748-4604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-431-5576
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BASKINS
Authorized Official First Name:
SYDNEY
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
301-541-0963

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM0855X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QR0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1902241250 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1609320340 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".