NPIMap

Organization Active NPI

Prominent Community Health and Research LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cheverly, MD
National Provider Identifier
1902651086
Registry record updated Sep 2, 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 D
Cheverly, MD 20785-1443
Phone
(240) 413-4131
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Babatunde K Jimoh
Title
President
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 D
Cheverly, MD 20785-1443

Mailing address

6490 Landover Rd Ste D
Cheverly, MD 20785-1443
Phone (240) 413-4131

Other names 1

  • PROMINENT COMMUNITY HEALTH AND RESEARCH LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250430002291 DC Part B Supplier - Clinic/Group Practice 1557887726 Receives reassigned benefits from 4 practitioners
Practice locations: Cheverly, MD

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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1902651086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE D",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "240-413-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 LANDOVER RD STE D",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851443",
            "telephone_number": "240-413-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMINENT COMMUNITY HEALTH AND RESEARCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "JIMOH",
        "authorized_official_first_name": "BABATUNDE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "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 COMMUNITY HEALTH AND RESEARCH LLC",
            "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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.