Provider Demographics
NPI: | 1285339796 |
---|---|
Name: | VAS SOLUTIONS LLC |
Entity type: | Organization |
Organization Name: | VAS SOLUTIONS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO-EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SAMIRA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ROGERS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 216-479-9294 |
Mailing Address - Street 1: | 6825 JIMMY CARTER BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | NORCROSS |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30071-1228 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 216-479-9294 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6825 JIMMY CARTER BLVD |
Practice Address - Street 2: | |
Practice Address - City: | NORCROSS |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30071-1228 |
Practice Address - Country: | US |
Practice Address - Phone: | 216-479-9294 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-04-03 |
Last Update Date: | 2023-04-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
No | 251E00000X | Agencies | Home Health | |
No | 251J00000X | Agencies | Nursing Care | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
No | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |