Provider Demographics
NPI:1861229494
Name:THERAPEUTIC CONCEPTS LLC
Entity type:Organization
Organization Name:THERAPEUTIC CONCEPTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COATES
Authorized Official - Middle Name:
Authorized Official - Last Name:AGATHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-854-9435
Mailing Address - Street 1:6504 ROSALIE LN
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1785
Mailing Address - Country:US
Mailing Address - Phone:240-854-9435
Mailing Address - Fax:
Practice Address - Street 1:6504 ROSALIE LN
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1785
Practice Address - Country:US
Practice Address - Phone:240-854-9435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No385H00000XRespite Care FacilityRespite Care