MEDICARE: VERTEX- LIFE

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	343900000X	Non-emergency Medical Transport (VAN)
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033478946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VERTEX- LIFE

Provider Business Mailing Address
First Line	:	623 PARK MEADOW RD STE M
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	240-305-5996
Fax Number	:

Provider Business Practice Location Address
First Line	:	623 PARK MEADOW RD STE M
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-2876
Country	:	US
Telephone Number	:	240-305-5996
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BABASSIRE DIANE
Credential	:
Telephone Number	:	240-305-5996

Provider Enumeration Date	:	05/11/2012
Last Update Date	:	08/29/2025

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Directions to “VERTEX- LIFE ” Practice Location

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