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VASTLAND LLC NPI 1841715976


NPI Information

NPI: 1841715976
Provider Name: VASTLAND, LLC

Doing Business As: VASTLAND HEALTH SERVICES

Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
6106 EDMONDSON AVE STE 102
CATONSVILLE, MD
ZIP 21228
Phone: (301) 978-6321
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VASTLAND, LLC is a nursing care in Catonsville, MD. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. VASTLAND, LLC NPI is 1841715976. The provider is registered as an organization entity type.
The provider Is Doing Business As Vastland Health Services.

The provider's business location address is:

6106 EDMONDSON AVE STE 102
CATONSVILLE, MD
ZIP 21228-885
Phone: (301) 978-6321
Fax: (301) 965-8625

The provider's authorized official is Wellington Ogude .
The authorized official title is Administrator and has the following contact phone number (202) 460-0403.

The enumeration date for this NPI number is 8/9/2017 and was last updated on 8/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareR4101MARYLANDNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionR4108MARYLANDNo
3251J00000XNursing CareR4108MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HCSA800019OTHERMARYLANDHCSA
2R4108OTHERMARYLANDRSA
3R4101OTHERMARYLANDRSA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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