Provider Demographics
NPI:1932737863
Name:VAS DYNAMICS LLC
Entity Type:Organization
Organization Name:VAS DYNAMICS LLC
Other - Org Name:ACCESSIBLE DESIGN SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALLWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-340-5941
Mailing Address - Street 1:10609 BREMS CT
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46561-9097
Mailing Address - Country:US
Mailing Address - Phone:574-340-5941
Mailing Address - Fax:
Practice Address - Street 1:12911 INDUSTRIAL PARK DR UNIT 3
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-4604
Practice Address - Country:US
Practice Address - Phone:574-622-8500
Practice Address - Fax:574-575-4388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies