NPIMap

Organization Active NPI

Vesta, Inc.

  • Community/Behavioral Health Agency
  • Forestville, MD
National Provider Identifier
1902015936
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4624 Issued in MD
Legal business name
VESTA, INC.
Practice address
3900 Forestville Rd
Forestville, MD 20747-4715
Phone
(240) 296-6060
Fax
(301) 967-0275
NPI assigned
May 22, 2007
Organization subpart
Yes
Parent organization
VESTA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2013

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) 296-5930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4624 MD Primary

Addresses

Primary practice location

3900 Forestville Rd
Forestville, MD 20747-4715

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
260991600MedicaidMD
741693OtherDCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000584 DC Part B Supplier - Clinic/Group Practice 3678568375 Receives reassigned benefits from 22 practitioners
5 other NPIs on this enrollment
Practice locations: Forestville, MD; Germantown, MD; Lanham, MD; Silver Spring, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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

Locations

3900 Forestville Rd
Forestville, MD 20747
Phone (240) 296-5848

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1902015936",
    "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": "3900 FORESTVILLE RD",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207474715",
            "telephone_number": "240-296-6060",
            "fax_number": "301-967-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VESTA, INC.",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-296-5930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260991600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "741693",
            "state": "DC"
        }
    ],
    "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 May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.