=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053891135
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VESTA, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/17/2018
-----------------------------------------------------
Last Update Date | 07/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8141 TELEGRAPH RD
-----------------------------------------------------
City | SEVERN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21144-3256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-296-1370
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9301 ANNAPOLIS RD STE 300
-----------------------------------------------------
City | LANHAM
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20706-3125
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-296-1379
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. JIGNESH DALAL
-----------------------------------------------------
Credential | CPA
-----------------------------------------------------
Telephone | 240-296-6099
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------