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General NPI Number Information
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NPI Number | 1629818521
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Entity Type | Organization
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Legal Business Name | TRIPPLE C INC.
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 8955 EDMONSTON RD STE M
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City | GREENBELT
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State | MD
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Zip | 20770-4038
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Country | US
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Telephone | 202-904-1453
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Fax |
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Provider Business Mailing Address
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Address Line | 8955 EDMONSTON RD STE M
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City | GREENBELT
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State | MD
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Zip | 20770-4038
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Country | US
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Telephone | 202-904-1453
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHARON OBIDE
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Credential |
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Telephone | 202-904-1453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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