Healthcare Provider Details
I. General information
NPI: 1952214744
Provider Name (Legal Business Name): EMINECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3467 SILVERTON LN
CHESAPEAKE BEACH MD
20732-4557
US
IV. Provider business mailing address
3467 SILVERTON LN
CHESAPEAKE BEACH MD
20732-4557
US
V. Phone/Fax
- Phone: 240-495-9471
- Fax:
- Phone: 240-495-9471
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TOLULOPE
OGUNGBEMI
Title or Position: CEO
Credential:
Phone: 240-495-9471