OrganizationActive
Emd Group Home, LLC
NPI 1164008777 · Community/Behavioral Health Agency · Montclair, VA
Emd Group Home, LLC is a Community/Behavioral Health Agency organization in Montclair, VA (NPI 1164008777).
Provider details
- NPI number
- 1164008777
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Maryse Isambo, Ceo(571) 295-1350
Specialties & taxonomies
Agencies
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
15113 Holleyside Dr
Montclair, VA 22025-1050
Phone: (571) 295-1350
Street-level locationGet directions
Mailing address
15113 Holleyside Dr
Montclair, VA 22025-1050
Registry dates
- Enumerated
- 2021-03-23
- Last updated
- 2021-03-23
- Certified
- 2021-03-23
Frequently asked questions
- What is Emd Group Home, LLC's NPI number?
- Emd Group Home, LLC's National Provider Identifier (NPI) is 1164008777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emd Group Home, LLC?
- Emd Group Home, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Emd Group Home, LLC located?
- Emd Group Home, LLC's practice location on file with NPPES is 15113 Holleyside Dr, Montclair, VA 22025-1050.
- What is Emd Group Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Emd Group Home, LLC is (571) 295-1350.
- Who is the authorized official for Emd Group Home, LLC?
- The authorized official listed on Emd Group Home, LLC's NPPES record is Maryse Isambo, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emd Group Home, LLC's NPI active?
- Yes — Emd Group Home, LLC's NPI (1164008777) is active in the NPPES registry as of the last update on 2021-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.