Provider Demographics
NPI:1619798923
Name:VANGUARD UNITY HOLDINGS LLC
Entity type:Organization
Organization Name:VANGUARD UNITY HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:WARSAME
Authorized Official - Suffix:
Authorized Official - Credentials:QMHS
Authorized Official - Phone:614-632-1572
Mailing Address - Street 1:2109 LANTERN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43224-5015
Mailing Address - Country:US
Mailing Address - Phone:614-632-1572
Mailing Address - Fax:
Practice Address - Street 1:2109 LANTERN DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-5015
Practice Address - Country:US
Practice Address - Phone:614-632-1572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-19
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)