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VIDAHEALTH CARE INC
NPI 1003630823
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gwynn Oak, MD

Active since November 08, 2024
3410 KELOX RD, GWYNN OAK, MD 21207(443) 627-3104 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vidahealth Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDAHEALTH CARE INC (NPI 1003630823) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Gwynn Oak, Maryland and active in the NPI registry since November 2024. The organization maintains a secondary practice location in Hagerstown and lists Isaac Fadeyibi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003630823
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameVIDAHEALTH CARE INC
Location Address3410 KELOX RDGwynn Oak, MD 21207-6203
Mailing Address3410 Kelox RdGwynn Oak, MD 21207-6203 · (443) 627-3104
Phone(443) 627-3104
Organization SubpartNo
Authorized OfficialIsaac FadeyibiCeo · (443) 627-3104
Enumeration DateNovember 8, 2024
NPPES CertifiedNovember 7, 2024
✔ NPI 1003630823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3410 KELOX RD, Gwynn Oak, MD 21207
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Secondary Practice Location 1

Location 118348 Spark Dr Unit 201Hagerstown, MD 21740-2086 · Phone (443) 627-3104

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 Vidahealth Care Inc's NPI number?

The NPI number for Vidahealth Care Inc is 1003630823. It was assigned to this organization in the NPPES registry on November 8, 2024.

Where is Vidahealth Care Inc located?

Vidahealth Care Inc is located at 3410 Kelox Rd, Gwynn Oak, MD 21207. The listed phone number is (443) 627-3104.

What is Vidahealth Care Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Vidahealth Care Inc was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.