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VASTLAND HEALTH SERVICES
NPI 1366953416
Clinic/Center - Multi-Specialty in Catonsville, MD

Active since October 17, 2017
6106 EDMONDSON AVE STE 102&105, CATONSVILLE, MD 21228(202) 460-0403(301) 965-8625 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2021, Jul 6, 2021, Oct 17, 2017 (3 updates tracked since 2017).

About Vastland Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VASTLAND HEALTH SERVICES (NPI 1366953416) is a healthcare organization registered as a multi-specialty in Catonsville, Maryland and active in the NPI registry since October 2017. The organization lists Wellington Ogude, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366953416
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVASTLAND, LLC
Location Address6106 EDMONDSON AVE STE 102&105Catonsville, MD 21228-1830
Mailing Address6106 Edmondson Ave Ste 102&105Catonsville, MD 21228-1830 · (202) 460-0403 · Fax (301) 965-8625
Phone(202) 460-0403
Fax(301) 965-8625
Organization SubpartNo
Authorized OfficialWellington OgudeAdministrator · (202) 460-0403
Enumeration DateOctober 17, 2017
Last NPPES UpdateJuly 19, 20213 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1366953416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedNursing CareTaxonomy 251J00000X · License R4101 (MD)
6106 EDMONDSON AVE STE 102&105, Catonsville, MD 21228
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Other Names 1

Doing Business AsVastland Health Services

Other Identifiers 1

Medicaid5002575-00MD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vastland, LLC's NPI number?

The NPI number for Vastland, LLC is 1366953416. It was assigned to this organization in the NPPES registry on October 17, 2017. The provider is doing business as Vastland Health Services.

Where is Vastland, LLC located?

Vastland, LLC is located at 6106 Edmondson Ave Ste 102&105, Catonsville, MD 21228. The listed phone number is (202) 460-0403.

What is Vastland, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Vastland, LLC was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.