National Provider Identifier Database

OPTIMUM MEDICAL GROUP INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities


Contact Information

OPTIMUM MEDICAL GROUP INC.
7405 DIGBY RD
GWYNN OAK, MD21207-4550
Phone: 443-537-0012
Fax:
Website:
Specialty Taxonomy Code
* Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X

* Indicates primary specialty

NPI Profile & details for OPTIMUM MEDICAL GROUP INC.

NPI Number 1407735749
Legal business name
LBN
OPTIMUM MEDICAL GROUP INC.
Authorized official BLESSING GABRIEL - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/30/2025
Last updated 08/30/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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