VESTA, INC. (NPI# 1053891135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053891135 |
| Entity Type | Organization |
| Organization Name | VESTA, INC. |
| Other Organization Name | VESTA FOUNDATION |
| Practice Address |
1202 Annapolis Rd Ste F Odenton MD 21113-1387 |
| Mailing Address |
9301 Annapolis Rd Ste 300 Lanham MD 20706-3125 |
| Practice Telephone | 2402961370 |
| Mailing Telephone | 2402961379 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | MR. JIGNESH DALAL (CEO) |
| Authorized Official Telephone | 2402966099 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | VESTA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 260991602 | 05 | |
| MD | MEDICARE | 949L | 01 |
| MD | 127504600 | 05 |
| Other Name | Type Code |
|---|---|
| Vesta Foundation | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609356575 | Vesta, Inc. | Community/Behavioral Health | 22 Industrial Park Dr Ste A, Waldorf, MD 20602-2792 | 2018-08-20 |
| 1083824437 | Vesta, Inc. | Community/Behavioral Health | 9301 Annapolis Rd, Suite 100, Lanham, MD 20706-3133 | 2007-05-23 |
| 1902015936 | Vesta, Inc. | Community/Behavioral Health | 3900 Forestville Rd, Forestville, MD 20747-4715 | 2007-05-22 |
| 1598306516 | Vesta, Inc. | Community/Behavioral Health | 9301 Annapolis Rd, Lanham, MD 20706-3115 | 2019-10-01 |
| 1285114207 | Vesta, Inc. | Community/Behavioral Health | 20410 Observation Dr Ste 108, Germantown, MD 20876-6419 | 2018-08-20 |
| 1073093944 | Vesta, Inc. | Community/Behavioral Health | 3900 Forestville Rd, Forestville, MD 20747-4715 | 2018-08-20 |
| 1790265668 | Vesta, Inc. | Community/Behavioral Health | 46940 S Shangri La Dr Ste 100, Lexington Park, MD 20653-4007 | 2018-08-20 |
| 1518447481 | Vesta, Inc. | Community/Behavioral Health | 8737 Colesville Rd Ste 700, Silver Spring, MD 20910-7901 | 2018-08-20 |
| 1891275053 | Vesta, Inc. | Community/Behavioral Health | 9301 Annapolis Rd Ste 100, Lanham, MD 20706 | 2018-08-17 |
| 1306085105 | Vesta, Inc. | Community/Behavioral Health | 20410 Observation Dr, Suite 108, Germantown, MD 20876-6419 | 2009-02-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VESTA, INC. | 9301 Annapolis Road Ste 300, Lanham, MD 20706-3125 |
| Massachusetts Corporations | VESTA, INC. | 770 Norwest Drive, Norwood, MA 02062 |
| Street Address |
1202 ANNAPOLIS RD STE F |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-1387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327474 | Kailey Alese Liverman | Counselor | 1202 Annapolis Rd Ste F, Odenton, MD 21113-1387 | 2020-02-11 |
| 1770127276 | Adrienne Boettinger | Counselor | 1202 Annapolis Rd Ste F, Odenton, MD 21113-1387 | 2019-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641909 | Robert A. Pascal Youth and Family Services, Inc. | Community/Behavioral Health | 1215 Annapolis Rd Ste 204, Odenton, MD 21113-1351 | 2020-02-19 |
| 1033274857 | The Care Connection, Inc. | Community/Behavioral Health | 1215 Annapolis Road, Suite 202, Odenton, MD 21113-1349 | 2006-12-22 |
| 1649819830 | Humanim Supported Employment Aa | Community/Behavioral Health | 1202 Annapolis Rd, Odenton, MD 21113-1397 | 2020-01-06 |
| 1639544406 | Therapyworks By Angela Hill LLC | Community/Behavioral Health | 1113 Odenton Rd, Suite 1d, Odenton, MD 21113-1606 | 2015-12-04 |
| 1215237821 | Time Health Care Solutions | Community/Behavioral Health | 1215 Annapolis Rd, Suite 101, Odenton, MD 21113-1344 | 2010-10-28 |
| 1760689863 | Care Connection, Inc. | Community/Behavioral Health | 1215 Annapolis Rd, Suite 202, Odenton, MD 21113-1344 | 2007-07-02 |
| 1275744757 | Vesta, Inc. | Community/Behavioral Health | 1202 Annapolis Rd, Suite F, Odenton, MD 21113-1387 | 2007-05-25 |
| 1316151541 | Divorce and Family Mediationservices | Community/Behavioral Health | 8288 Telegraph Rd, Suite A, Odenton, MD 21113-1130 | 2007-05-09 |
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| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
| 1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
| 1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.