CCC HEALTHCARE, LLC – NPI #1043749468
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

CCC HEALTHCARE, LLC is a residential treatment facility located in BOWIE, MD. NPPES has assigned the NPI number 1043749468 to CCC HEALTHCARE, LLC on June 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CCC HEALTHCARE, LLC below.

NPI Profile for
CCC HEALTHCARE, LLC

NPI Number
1043749468
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CCC HEALTHCARE, LLC
Primary location
4205 HATTIES PROGRESS DRIVE
BOWIE, MD 20720
Phone: (908) 463-3115 Fax:
Mailing address
4205 HATTIES PROGRESS DR
BOWIE, MD 20720-6321
Phone: (908) 463-3115 Fax:
Organization Subpart
No
Authorized Official
SOLOMON NCHINDA
DIRECTOR
Phone: (908) 463-3115
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.