11714 TUSCANY DRIVE – NPI #1386879955
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

11714 TUSCANY DRIVE is a community based residential treatment facility located in LAUREL, MD. NPPES has assigned the NPI number 1386879955 to 11714 TUSCANY DRIVE on May 26, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 11714 TUSCANY DRIVE below.

NPI Profile for
11714 TUSCANY DRIVE

NPI Number
1386879955
Enumeration Date

(more than 17 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
11714 TUSCANY DRIVE
Primary location
11714 TUSCANY DR
LAUREL, MD 20708-2841
Phone: (301) 332-7222 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NGOZI OKUDOH
ADMINISTRATOR
Phone: (301) 332-7222
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
373H00000X
- Day Training/Habilitation Specialist

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.