OrganizationActive
A Base 4 Change, LLC
NPI 1598442576 · Case Management Agency · Tampa, FL
Provider details
- NPI number
- 1598442576
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Vallery Johnson, Ceo(919) 799-3772
Specialties & taxonomies
Agencies
- Nursing Care Agency251J00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
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
2 documented practice locations
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
100 N. Ashley Dr. Suite 600
Tampa, FL 33602
Phone: (919) 799-3772
Street-level locationGet directions
Mailing address
1633 New Garden Rd # 1088
Greensboro, NC 27410-2001
Additional practice locations (1)
- 11111 Katy Fwy Ste 910Houston, TX 77079-2119Phone: (919) 799-3772
Registry dates
- Enumerated
- 2023-06-30
- Last updated
- 2023-06-30
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.