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TRANSFORMATION STATION LLC
NPI 1982339180
Clinic/Center - Rehabilitation, Substance Use Disorder in Baltimore, MD

Active since July 21, 2022
4200 EDMONDSON AVE STE 100, BALTIMORE, MD 21229(443) 310-2572 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 18, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Transformation Station Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMATION STATION LLC (NPI 1982339180) is a healthcare organization registered as a rehabilitation, substance use disorder in Baltimore, Maryland and active in the NPI registry since July 2022. The organization lists Darryl Moody, Owner, as its authorized official.

NPPES Registry Identity

NPI1982339180
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameTRANSFORMATION STATION LLC
Location Address4200 EDMONDSON AVE STE 100Baltimore, MD 21229-1617
Mailing Address4200 Edmondson Ave Ste 100Baltimore, MD 21229-1617 · (443) 310-2572
Phone(443) 310-2572
Organization SubpartNo
Authorized OfficialDarryl MoodyOwner · (443) 310-2572
Enumeration DateJuly 21, 2022
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1982339180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
4200 EDMONDSON AVE STE 100, Baltimore, MD 21229
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Other Identifiers 1

Medicaid215JT87CMD

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRANSFORMATION STATION LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4200 EDMONDSON AVE STE 100
BALTIMORE, MD 21229
Baltimore City (443) 873-8139
I THINK DIFFERENT BEHAVIORAL HEALTH SERVICES LLC
Substance Abuse Rehabilitation Facility
4200 EDMONDSON AVE STE 100
BALTIMORE, MD 21229
Baltimore City (443) 203-2377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Transformation Station LLC's NPI number?

The NPI number for Transformation Station LLC is 1982339180. It was assigned to this organization in the NPPES registry on July 21, 2022.

Where is Transformation Station LLC located?

Transformation Station LLC is located at 4200 Edmondson Ave Ste 100, Baltimore, MD 21229. The listed phone number is (443) 310-2572.

What is Transformation Station LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Transformation Station LLC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.