Changing Lives at Home Sud,inc
NPI 1124705546 · Community/Behavioral Health Agency · Baltimore, MD
Changing Lives at Home Sud,inc is a Community/Behavioral Health Agency organization in Baltimore, MD (NPI 1124705546).
Provider details
- NPI number
- 1124705546
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Latrill Bryant-Bass, Ceo/Director(443) 463-9523
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-28
- Last updated
- 2023-06-30
- Certified
- 2023-06-30
Frequently asked questions
- What is Changing Lives at Home Sud,inc's NPI number?
- Changing Lives at Home Sud,inc's National Provider Identifier (NPI) is 1124705546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Changing Lives at Home Sud,inc?
- Changing Lives at Home Sud,inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Changing Lives at Home Sud,inc located?
- Changing Lives at Home Sud,inc's practice location on file with NPPES is 4805 Garrison Blvd, Baltimore, MD 21215-5695.
- What is Changing Lives at Home Sud,inc's phone number?
- The practice phone number listed in the NPPES registry for Changing Lives at Home Sud,inc is (443) 869-2600.
- Who is the authorized official for Changing Lives at Home Sud,inc?
- The authorized official listed on Changing Lives at Home Sud,inc's NPPES record is Latrill Bryant-Bass, Ceo/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Changing Lives at Home Sud,inc's NPI active?
- Yes — Changing Lives at Home Sud,inc's NPI (1124705546) is active in the NPPES registry as of the last update on 2023-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.