OrganizationActive
Vidahealth Care Inc
NPI 1003630823 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gwynn Oak, MD
Provider details
- NPI number
- 1003630823
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Isaac Fadeyibi, Ceo(443) 627-3104
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3410 Kelox Rd
Gwynn Oak, MD 21207-6203
Phone: (443) 627-3104
Street-level locationGet directions
Mailing address
3410 Kelox Rd
Gwynn Oak, MD 21207-6203
Additional practice locations (1)
- 18348 Spark Dr Unit 201Hagerstown, MD 21740-2086Phone: (443) 627-3104
Registry dates
- Enumerated
- 2024-11-08
- Last updated
- 2024-11-08
- Certified
- 2024-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.