NPIMap

Organization Active NPI

Vesta Inc

  • Community/Behavioral Health Agency
  • California, MD
National Provider Identifier
1255622981
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1475 Issued in MD
Legal business name
VESTA INC
Practice address
22685 Three Notch Rd Ste 200
California, MD 20619-3152
Phone
(301) 863-4543
Fax
(301) 863-4542
NPI assigned
Apr 28, 2011
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Lorena Memberg
Title
Director of Finance
Phone
(240) 296-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1475 MD Primary

Addresses

Primary practice location

22685 Three Notch Rd Ste 200
California, MD 20619-3152

Mailing address

9301 Annapolis Rd
Suite 300
Lanham, MD 20706-3125
Phone (240) 296-5848

Other identifiers 3

IdentifierTypeStateIssuer
127504604MedicaidMD
1255622981OtherMDNPPES
949LOtherMDMEDICARE

National Provider Directory

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

Other organizations with this tax ID 24

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

View all 24

Locations

22685 Three Notch Rd
Ste 200
California, MD 20619
Phone (301) 863-4543

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1255622981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 ANNAPOLIS RD",
            "address_2": "SUITE 300",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063125",
            "telephone_number": "240-296-5848",
            "fax_number": "301-459-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22685 THREE NOTCH RD STE 200",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206193152",
            "telephone_number": "301-863-4543",
            "fax_number": "301-863-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "MEMBERG",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "240-296-6333"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127504604",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1255622981",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "949L",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.