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EMINENT HEALTHCARE
NPI 1376372540
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fairfax, VA

Active since July 29, 2024
10560 MAIN ST STE 98-8, FAIRFAX, VA 22030(443) 985-5493(410) 501-5140 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eminent Healthcare NPPES

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

EMINENT HEALTHCARE (NPI 1376372540) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fairfax, Virginia and active in the NPI registry since July 2024. The organization lists Michael Adebowale Ogidiolu, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376372540
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEMINENT HEALTHCARE
Location Address10560 MAIN ST STE 98-8Fairfax, VA 22030-7132
Mailing Address10560 Main St Ste 98-8Fairfax, VA 22030-7132 · (443) 985-5493 · Fax (410) 501-5140
Phone(443) 985-5493
Fax(410) 501-5140
Organization SubpartNo
Authorized OfficialMichael Adebowale OgidioluExecutive Director · (443) 985-5493
Enumeration DateJuly 29, 2024
NPPES CertifiedJuly 28, 2024
✔ NPI 1376372540 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.
10560 MAIN ST STE 98-8, Fairfax, VA 22030
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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 Eminent Healthcare's NPI number?

The NPI number for Eminent Healthcare is 1376372540. It was assigned to this organization in the NPPES registry on July 29, 2024.

Where is Eminent Healthcare located?

Eminent Healthcare is located at 10560 Main St Ste 98-8, Fairfax, VA 22030. The listed phone number is (443) 985-5493.

What is Eminent Healthcare'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 Eminent Healthcare was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.