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NPI Code Detail

MEDICARE: VESTA, INC.

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
1251S00000XCommunity/Behavioral Health AgencyMD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2741693OTHERDCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003027707
Entity Type Code : Organization
Provider Name (Legal Business Name) : VESTA, INC.
Provider Business Mailing Address
First Line : 9301 ANNAPOLIS RD
Second Line : SUITE 300
City : LANHAM
State : MD
Zip : 20706-3125
Country : US
Telephone Number : 240-296-5848
Fax Number : 301-459-9110
Provider Business Practice Location Address
First Line : 20410 OBSERVATION DR STE 212
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4068
Country : US
Telephone Number : 240-296-5862
Fax Number : 301-528-4315
Authorized Official
Title or Position : CEO
Name : MR. JIGNESH DALAL
Credential : CPA
Telephone Number : 240-296-6099
Provider Enumeration Date : 05/24/2007
Last Update Date : 08/20/2025

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1639623432 — EMILY R BUCHEIMER LCSW-C
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1285114207 — VESTA, INC.
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GERMANTOWN, MD
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1124663794 — DEBORAH ANN SWANSTROM LCSW-C
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Directions to “VESTA, INC. ” Practice Location

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