TRINITY FAMILY AND BEHAVIORAL HEALTH SERVICES LLC


Address: 15612 Norus St, Upper Marlboro, MD 20772-8253
Phone: 2407054527

TRINITY FAMILY AND BEHAVIORAL HEALTH SERVICES LLC (NPI# 1376160382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376160382
Entity Type Organization
Organization Name TRINITY FAMILY AND BEHAVIORAL HEALTH SERVICES LLC
Practice Address 15612 Norus St
Upper Marlboro
MD 20772-8253
Practice Telephone 2407054527
Mailing Telephone 2407054527
Enumeration Date 2020-06-25
Last Update Date 2020-06-25
Authorized Official Name FRANCISCA NKEM OKWUKOGU (CEO/PRESIDENT)
Authorized Official Telephone 2407054527
Authorized Official Credential PMHNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 15612 NORUS ST
City UPPER MARLBORO
State MD
Zip Code 20772-8253

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1760022958 Keri Daniel Nurse Practitioner 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 2020-01-15
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1033673918 Shonte Renee Drakeford Nurse Practitioner 6610 Woodyard Road, Upper Marlboro, MD 20772 2019-01-25
1902391261 Myenne Hanson Home Health Aide 5002 Ashford Dr, Upper Marlboro, MD 20772 2018-06-28
1659884849 Clement Okehie Home Health Aide 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 2017-11-09
1497264766 Fatu Barrie Technician 11112 Cranfod Drive, Upper Marlboro, MD 20772 2017-09-29
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1427609429 Active Spine & Rehab, LLC Clinic/Center 802 Cromwell Park Dr, Glen Burnie, MD 21061-2563 2019-09-23
1144888025 Ethos Health Maryland 1, LLC Clinic/Center 4940 Campbell Blvd Ste 130, Nottingham, MD 21236-5910 2019-06-05
1740847201 Swiftcare Family Clinic and Wellness Inc Clinic/Center 1841/1843 Brightseat Road, Landover, MD 20785-2078 2019-05-21
1285102764 Black Rock Integrative Medicine Clinic/Center 17666 Technology Blvd, Hagerstown, MD 21740-2074 2018-11-02
1639664683 The Heard Group, LLC Clinic/Center 6284 Hard Bargain Cir, Indian Head, MD 20640 2018-06-22
1912407891 Adoni Healthcare Services, LLC Clinic/Center 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 2018-02-16
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Competitor

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City UPPER MARLBORO
Zip Code 20772

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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