IndividualActive

Mr. Efetobore Omadevuae

Assisted Living Facility - Assisted Living, Mental Illness

NPI: 1275397556Gwynn Oak, Maryland, 21207(443) 739-1209Male

About Mr. Efetobore Omadevuae

Mr. Efetobore Omadevuae is a male healthcare professional specializing in Assisted Living Facility - Assisted Living, Mental Illness with a focus on Assisted Living, Mental Illness, registered under National Provider Identifier (NPI) number 1275397556.

Their primary practice is located at 9 PINEKNOT CT, Gwynn Oak, Maryland 21207. Patients can reach the office at (443) 739-1209. Mr. Efetobore Omadevuae has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number: 1275397556
Entity Type: Individual
First Name: Efetobore
Last Name: Omadevuae
Gender: Male
Sole Proprietor: Yes
Status: active

Primary Practice Location

Address: 9 PINEKNOT CT
City: Gwynn Oak
State: Maryland
ZIP: 21207-5585
Country: United States
Phone: (443) 739-1209

Specialty & Taxonomy

Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Classification: Assisted Living Facility
Specialization: Assisted Living, Mental Illness
Taxonomy Code: 3104A0625X

NPI Registration

Enumeration Date: Feb 7, 2024
Last Updated: Feb 7, 2024
Certification Date: Feb 7, 2024

Mailing Address

Address: 6628 RIDGEBORNE DR
City: ROSEDALE
State: MD
ZIP: 212373871

Medicare Enrollment

Medicare Enrolled: No
Can Order/Refer: No
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Mr. Efetobore Omadevuae's NPI number?

Mr. Efetobore Omadevuae's National Provider Identifier (NPI) is 1275397556. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Mr. Efetobore Omadevuae specialize in?

Mr. Efetobore Omadevuae specializes in Assisted Living Facility - Assisted Living, Mental Illness.

Where is Mr. Efetobore Omadevuae located?

Mr. Efetobore Omadevuae practices at 9 PINEKNOT CT, Gwynn Oak, Maryland 21207. You can reach them by phone at (443) 739-1209.

Does Mr. Efetobore Omadevuae accept Medicare?

Based on available data, Mr. Efetobore Omadevuae is not currently enrolled in the Medicare program.

Does Mr. Efetobore Omadevuae offer telehealth or virtual visits?

Mr. Efetobore Omadevuae does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Efetobore Omadevuae is 1275397556.