Healthcare Provider Details

I. General information

NPI: 1386550036
Provider Name (Legal Business Name): EFFECTIVE CHANGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 GLORY MAPLE LN
DOWNINGTOWN PA
19335-1586
US

IV. Provider business mailing address

74 GLORY MAPLE LN
DOWNINGTOWN PA
19335-1586
US

V. Phone/Fax

Practice location:
  • Phone: 484-467-2686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: QUANITA BAXTER
Title or Position: FOUNDER
Credential:
Phone: 484-467-2686