Vastland Health Services

LBN: Vastland, Llc
Vastland Health Services is an health care organization with primary practice located at 6106 Edmondson Ave Ste 102&105 , Catonsville MD 21228-1830. The organization recently has 2 registered licenses in different health care specialties including Agencies / Nursing Care, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Vastland, Llc can be contacted via phone (202) 460-0403, or through Ogude, Wellington via phone (202) 460-0403.

Contact Information

Primary practice address
6106 Edmondson Ave Ste 102&105 Catonsville MD 21228-1830
Phone: (202) 460-0403
Fax: (301) 965-8625
Website:
Map and Directions
Authorized official contact:
Name: Ogude, Wellington
Phone: (202) 460-0403

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X R4101 Maryland
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1366953416
LBN Legal business name Vastland, Llc
DBA Doing business as Vastland Health Services
Authorized official Ogude, Wellington
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2017
Last updated Jul 19th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366953416 NPPES
Maryland MEDICAID 5002575-00

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