| Transformation Healthcare Inc. | |
|
6212 York Rd Baltimore MD 21212-2612 | |
| (240) 374-3801 | |
| (410) 755-7797 |
| Full Name | Transformation Healthcare Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6212 York Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Calista Chana (CEO) |
| Authorized Official Contact | 2403743801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformation Healthcare Inc. 6801 Oak Hall Ln Unit 6462 Columbia MD 21045-7587 Ph: (403) 743-8012 | Transformation Healthcare Inc. 6212 York Rd Baltimore MD 21212-2612 Ph: (240) 374-3801 |
| NPI Number | 1861017162 |
|---|---|
| Provider Enumeration Date | 06/11/2020 |
| Last Update Date | 10/23/2025 |
| Certification Date | 10/23/2025 |
| Medicare PECOS PAC ID | 8921419029 |
|---|---|
| Medicare Enrollment ID | O20201120001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861017162 | NPI | - | NPPES |
| Provider Name | Ketty M Ngona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962714204 PECOS PAC ID: 3779756150 Enrollment ID: I20111031000430 |
| Provider Name | Carol L Garey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366876690 PECOS PAC ID: 4385917772 Enrollment ID: I20170906003833 |
| Provider Name | Francois Tueguo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730870783 PECOS PAC ID: 6002267358 Enrollment ID: I20240110004831 |
| Provider Name | Tiffany R Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528743630 PECOS PAC ID: 5597209262 Enrollment ID: I20240705000941 |
| Provider Name | Onyeanwuna P Okpah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952099178 PECOS PAC ID: 1052850419 Enrollment ID: I20240829000629 |
| Provider Name | Shenicka O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215691217 PECOS PAC ID: 5890221543 Enrollment ID: I20241205001364 |
| Provider Name | Christiana Oluwakemi Olayera-akinboye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235882903 PECOS PAC ID: 7315310331 Enrollment ID: I20241227000030 |
| Provider Name | Chienyezuo Anaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093520082 PECOS PAC ID: 3971020611 Enrollment ID: I20250507000295 |
| Provider Name | Anna Maith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881284016 PECOS PAC ID: 7012434285 Enrollment ID: I20250512000073 |
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