Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eminent Healthcare

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1376372540

Eminent Healthcare is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fairfax, Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10560 Main St Ste 98-8
Fairfax, VA 22030-7132
Phone: (443) 985-5493
Fax: (410) 501-5140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1376372540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ogidiolu — Executive Director · (443) 985-5493
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 28, 2024
Mailing address10560 Main St Ste 98-8, Fairfax, VA 22030-7132

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