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EMD GROUP HOME, LLC
NPI 1164008777
Community/Behavioral Health in Montclair, VA

Active since March 23, 2021
15113 HOLLEYSIDE DR, MONTCLAIR, VA 22025(571) 295-1350 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emd Group Home, Llc NPPES

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

EMD GROUP HOME, LLC (NPI 1164008777) is a healthcare organization registered as a community/behavioral health in Montclair, Virginia and active in the NPI registry since March 2021. The organization lists Maryse Isambo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164008777
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEMD GROUP HOME, LLC
Location Address15113 HOLLEYSIDE DRMontclair, VA 22025-1050
Mailing Address15113 Holleyside DrMontclair, VA 22025-1050 · (571) 295-1350
Phone(571) 295-1350
Organization SubpartNo
Authorized OfficialMaryse IsamboCeo · (571) 295-1350
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1164008777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

15113 HOLLEYSIDE DR, Montclair, VA 22025
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Frequently Asked Questions

What is EMD GROUP HOME, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1164008777, enumerated as an "organization" on March 23, 2021.

Where is the provider located?

The provider is located at 15113 HOLLEYSIDE DR MONTCLAIR, VA 22025 and the phone number is (571) 295-1350.

What is the provider's specialty?

Community/Behavioral Health with taxonomy code 251S00000X.