Vintage Healthcare Services L.L.C

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

VINTAGE HEALTHCARE SERVICES L.L.C

Practice address

10310 Swift Stream PL Apt 109
Columbia, MD 21044-4881

Phone

(202) 843-3537

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Elijah JonesNPI 1154199487

Title

Ceo

Phone

(202) 843-3535

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elijah Jones

  • Case Manager/Care Coordinator
  • Hanover, MD
  • NPI 1154199487
  NPD Authorized official

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1336949577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 CONNECTICUT AVE NW STE 531",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200362729",
            "telephone_number": "202-843-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 SWIFT STREAM PL APT 109",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210444881",
            "telephone_number": "202-843-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINTAGE HEALTHCARE SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-843-3535"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayler Vincent
• Thomas A Vincent, M.D.
• Olivia G Vincitore
• Patricia Hawkins Vines, LCPC
• Essence Vinson
• Sonia Carmen Violette
• Visionary Women'S Health LLC
• Visionworks, Inc.
• Frank Vit, CPHT
• Ariel Antonio Vitali Jr., MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, MD
• Providers in Columbia, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.