MEDICARE: VANGUARD HEALTH SERVICES, LLC

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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1417894189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VANGUARD HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	9613C HARFORD RD # 410
Second Line	:
City	:	PARKVILLE
State	:	MD
Zip	:	21234-2103
Country	:	US
Telephone Number	:	410-777-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 JEFFERSON ST # A1
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21205-2318
Country	:	US
Telephone Number	:	410-777-5777
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	KEVIN BUTLER
Credential	:
Telephone Number	:	410-777-5777

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

Similar Medicare Providers

1487191375 — MAYOR AND CITY COUNCIL OF BALTIMORE
Practice Location Address:

908 WASHINGTON BLVD
BALTIMORE, MD
21230-2318

Practice Phone: 410-396-0176
Practice Fax:

1285389833 — ANGELA MOGENSEN
Practice Location Address:

303 S BOULDIN ST
BALTIMORE, MD
21224-2318

Practice Phone: 240-818-8902
Practice Fax:

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1487585493 — ARD BEHAVIORAL HEALTH
Practice Location Address:

901 N MILTON AVE STE 300A-C
BALTIMORE, MD
21205-1316

Practice Phone: 443-744-5368
Practice Fax:

Directions to “VANGUARD HEALTH SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.