MEDICARE: VESTA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1871252304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VESTA, INC.

Provider Business Mailing Address
First Line	:	9301 ANNAPOLIS RD STE 300
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-3125
Country	:	US
Telephone Number	:	240-731-6593
Fax Number	:

Provider Business Practice Location Address
First Line	:	8141 TELEGRAPH RD
Second Line	:
City	:	SEVERN
State	:	MD
Zip	:	21144-3256
Country	:	US
Telephone Number	:	240-731-6593
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JIGNESH S DALAL
Credential	:
Telephone Number	:	240-296-6099

Provider Enumeration Date	:	12/13/2021
Last Update Date	:	09/29/2025

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Directions to “VESTA, INC. ” Practice Location

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