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

Vidahealth Care Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1003630823

Vidahealth Care Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gwynn Oak, Maryland. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3410 Kelox Rd
Gwynn Oak, MD 21207-6203
Phone: (443) 627-3104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18348 Spark Dr Unit 201, Hagerstown, MD 21740-2086 — (443) 627-3104

Specialties & licences

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

Record details

NPI number1003630823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isaac Fadeyibi — Ceo · (443) 627-3104
NPI enumeratedNovember 8, 2024
Last updated in NPPESNovember 8, 2024
Certification dateNovember 7, 2024
Mailing address3410 Kelox Rd, Gwynn Oak, MD 21207-6203

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