NPIMap

Organization Active NPI

Vesta, Inc.

  • Community/Behavioral Health Agency
  • Waldorf, MD
National Provider Identifier
1609356575
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
14368 Issued in MD
Legal business name
VESTA, INC.
Practice address
22 Industrial Park Dr Ste a
Waldorf, MD 20602-2792
Phone
(240) 296-6030
NPI assigned
Aug 20, 2018
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 14368 MD Primary

Addresses

Primary practice location

22 Industrial Park Dr Ste a
Waldorf, MD 20602-2792

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
260991608MedicaidMA
949LOtherMDMEDICARE
640570300MedicaidMD

Other names 1

  • Vesta Foundation Former legal business name

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": "1609356575",
    "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": "22 INDUSTRIAL PARK DR STE A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022792",
            "telephone_number": "240-296-6030"
        }
    ],
    "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": "14368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260991608",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "949L",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "640570300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vesta Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Vesta Foundation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waldorf, 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.