TRINITY DETOX AND FAMILY CLINIC INC
NPI 1295386233
Nurse Practitioner - Family in Rosedale, MD
About Trinity Detox And Family Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRINITY DETOX AND FAMILY CLINIC INC (NPI 1295386233) is a healthcare organization registered as a family in Rosedale, Maryland and active in the NPI registry since September 2019. The organization lists Ifeyinwa Cordelia Ibeanu, Family Nurse Practitioner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trinity Detox And Family Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Trinity Detox And Family Clinic Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Trinity Detox And Family Clinic Inc's NPI number?
The NPI number for Trinity Detox And Family Clinic Inc is 1295386233. It was assigned to this organization in the NPPES registry on September 20, 2019.
Where is Trinity Detox And Family Clinic Inc located?
Trinity Detox And Family Clinic Inc is located at 1232 Race Rd Ste 302, Rosedale, MD 21237. The listed phone number is (443) 326-0503.
What is Trinity Detox And Family Clinic Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Trinity Detox And Family Clinic Inc enrolled in Medicare?
Yes. Trinity Detox And Family Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Trinity Detox And Family Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Trinity Detox And Family Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Trinity Detox And Family Clinic Inc was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Trinity Detox And Family Clinic Inc · NPI 1295386233
Family organization in Rosedale, Maryland. Organization record, active in the CMS NPPES registry since September 20, 2019.
## Identity
- **NPI:** 1295386233 (Entity type: Organization)
- **Enumerated:** September 20, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Ifeyinwa Ibeanu, FAMILY NURSE PRACTITIONER/PROVIDER
## Practice location
- **Address:** 1232 RACE RD STE 302, Rosedale, MD 21237-2382
- **Phone:** (443) 326-0503
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295386233) · Data from the CMS NPPES public registry.