NPIMap

Organization Active NPI

Prominent Community Health and Research LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cheverly, MD
National Provider Identifier
1609680586
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PROMINENT COMMUNITY HEALTH AND RESEARCH LLC
Practice address
6490 Landover Rd Ste D3
Cheverly, MD 20785-1443
Phone
(240) 413-4131
Fax
(704) 970-0138
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Babatunde King Jimoh
Title
Ceo
Phone
(240) 413-4131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6490 Landover Rd Ste D3
Cheverly, MD 20785-1443

Mailing address

6490 Landover Rd Ste D3
Cheverly, MD 20785-1443

Other names 1

  • PROMINENT OMHC Other name

National Provider Directory

National Provider Directory
Tax ID family
Prominent Community Health and Research LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1609680586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE D3",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE D3",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "240-413-4131",
            "fax_number": "704-970-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT COMMUNITY HEALTH AND RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "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"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMINENT OMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 27, 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.