NPIMap

Organization Active NPI

Vesta, Inc.

  • Community/Behavioral Health Agency
  • Forestville, MD
National Provider Identifier
1073093944
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
14369 Issued in MD
Legal business name
VESTA, INC.
Practice address
3900 Forestville Rd
Forestville, MD 20747-4715
Phone
(240) 296-6060
NPI assigned
Aug 20, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
VESTA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Mr. Jignesh Dalal, CPA
Title
Ceo
Phone
(240) 296-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 14369 MD Primary

Addresses

Primary practice location

3900 Forestville Rd
Forestville, MD 20747-4715

Mailing address

9301 Annapolis Rd Ste 300
Lanham, MD 20706-3125
Phone (240) 296-1379

Other identifiers 1

IdentifierTypeStateIssuer
589121300MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
VMHC25 organizations share this tax ID, including this one
Part of
VMHC

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1073093944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 ANNAPOLIS RD STE 300",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063125",
            "telephone_number": "240-296-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FORESTVILLE RD",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474715",
            "telephone_number": "240-296-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VESTA, INC.",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-296-6099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "14369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589121300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.