Trinity Detox and Family Clinic Inc
NPI 1295386233ActiveOrganization· Nurse Practitioner, Family· Rosedale, MD
Nurse Practitioner, Family in Rosedale, Maryland, registered in NPPES in September 2019. The authorized official on file is Ifeyinwa Cordelia Ibeanu, FNP-BC, Family Nurse Practitioner/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295386233 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2019 |
| Last updated in NPPES | Nov 14, 2025 |
| Certified by provider | Nov 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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