EMMANUEL HEALTH CARE CENTER L.L.LC.
NPI 1851974885
Nurse Practitioner - Psychiatric/Mental Health in Randallstown, MD

Active since April 28, 2021
9633 LIBERTY RD STE D, RANDALLSTOWN, MD 21133(240) 603-0890(443) 272-6766 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emmanuel Health Care Center L.l.lc. NPPES

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

EMMANUEL HEALTH CARE CENTER L.L.LC. (NPI 1851974885) is a healthcare organization registered as a psychiatric/mental health in Randallstown, Maryland and active in the NPI registry since April 2021. The organization lists Adebola Toyosi Adereti, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851974885
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEMMANUEL HEALTH CARE CENTER L.L.LC.
Location Address9633 LIBERTY RD STE DRandallstown, MD 21133-2435
Mailing Address9633 Liberty Rd Ste DRandallstown, MD 21133-2435 · (240) 603-0890 · Fax (443) 272-6766
Fax(443) 272-6766
Organization SubpartNo
Authorized OfficialAdebola Toyosi AderetiCeo · (240) 603-0890
Enumeration DateApril 28, 2021
NPPES CertifiedApril 28, 2021
NPI 1851974885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
9633 LIBERTY RD STE D, Randallstown, MD 21133

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Emmanuel Health Care Center L.L.Lc.'s NPI number?

The NPI number for Emmanuel Health Care Center L.L.Lc. is 1851974885. It was assigned to this organization in the NPPES registry on April 28, 2021.

Where is Emmanuel Health Care Center L.L.Lc. located?

Emmanuel Health Care Center L.L.Lc. is located at 9633 Liberty Rd Ste D, Randallstown, MD 21133. The listed phone number is (240) 603-0890.

What is Emmanuel Health Care Center L.L.Lc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Emmanuel Health Care Center L.L.Lc. was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.