Organization Active NPI

Prominent Community Health and Reserch Inc

  • Developmental Disabilities Clinic/Center
  • Cheverly, MD
National Provider Identifier
1174333900
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PROMINENT COMMUNITY HEALTH AND RESERCH INC
Practice address
6490 Landover Road
Suite D
Cheverly, MD 20785
Phone
(240) 413-4131
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Babatunde King JimohNPI 1578906897
Title
Ceo
Phone
(240) 413-4131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

6490 Landover Road
Suite D
Cheverly, MD 20785

Mailing address

6490 Landover Road
Suite D
Cheverly, MD 20785
Phone (240) 413-4131

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1174333900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER ROAD",
            "address_2": "SUITE D",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "240-413-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER ROAD",
            "address_2": "SUITE D",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "240-413-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT COMMUNITY HEALTH AND RESERCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "JIMOH",
        "authorized_official_first_name": "BABATUNDE",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-413-4131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.