Provider Demographics
NPI:1275354318
Name:VANTAGE DME LLC
Entity type:Organization
Organization Name:VANTAGE DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KASTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-337-0000
Mailing Address - Street 1:1305 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3036
Mailing Address - Country:US
Mailing Address - Phone:814-337-0000
Mailing Address - Fax:
Practice Address - Street 1:1 NOLTE DR STE 430
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7111
Practice Address - Country:US
Practice Address - Phone:724-545-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VANTAGE DME D/B/A/VANTAGE HOME MEDICAL EQUIPMENT & SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-22
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies