NPIMap

Organization Active NPI

Vastland, LLC

  • Nursing Care Agency
  • Catonsville, MD
National Provider Identifier
1841715976
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
R4108 Issued in MD
Legal business name
VASTLAND, LLC
Practice address
6106 Edmondson Ave Ste 102
Catonsville, MD 21228-1885
Phone
(301) 978-6321
Fax
(301) 965-8625
NPI assigned
Aug 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Wellington Ogude
Title
Administrator
Phone
(202) 460-0403

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X R4108 MD Primary
In Home Supportive Care Agency 253Z00000X R4101 MD
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X R4108 MD

Addresses

Primary practice location

6106 Edmondson Ave Ste 102
Catonsville, MD 21228-1885

Mailing address

6106 Edmondson Ave Ste 102
Catonsville, MD 21228-1885
Phone (301) 978-6321

Other identifiers 3

IdentifierTypeStateIssuer
HCSA800019OtherMDHCSA
R4108OtherMDRSA
R4101OtherMDRSA

Other names 2

  • Vastland Health Services Doing business as
  • Vastland Nursing and Therapy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vastland Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

6314 Windsor Mill Rd
Ste 201A
Baltimore, MD 21207

6106 Edmondson Ave
Ste 102
Catonsville, MD 21228
Phone (301) 978-6321

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1841715976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 EDMONDSON AVE STE 102",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281885",
            "telephone_number": "301-978-6321",
            "fax_number": "301-965-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 EDMONDSON AVE STE 102",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281885",
            "telephone_number": "301-978-6321",
            "fax_number": "301-965-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASTLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "OGUDE",
        "authorized_official_first_name": "WELLINGTON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-460-0403"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MD",
            "license": "R4108",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R4101",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MD",
            "license": "R4108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCSA",
            "identifier": "HCSA800019",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RSA",
            "identifier": "R4108",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RSA",
            "identifier": "R4101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vastland Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vastland Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vastland Nursing and Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.