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	:	1154997955
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	:	SUITES E, F & G
City	:	SEVERN
State	:	MD
Zip	:	21144
Country	:	US
Telephone Number	:	240-296-1370
Fax Number	:	301-263-7918

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	LORENA MEMBERG
Credential	:
Telephone Number	:	240-296-6333

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	03/19/2026

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Directions to “VESTA, INC. ” Practice Location

Language	Start Address	Practice Location

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