VANTAGE HEALTHCARE LLC – NPI #1366903551
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

VANTAGE HEALTHCARE LLC is a provider located in CANTON, MA. NPPES has assigned the NPI number 1366903551 to VANTAGE HEALTHCARE LLC on March 29, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on May 26, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VANTAGE HEALTHCARE LLC below.

NPI Profile for
VANTAGE HEALTHCARE LLC

NPI Number
1366903551
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VANTAGE HEALTHCARE LLC
Primary location
45 DAN RD
CANTON, MA 02021
Phone: (781) 867-2050 Fax:
1 Other location(s):
642 Metacom Ave
Warren, RI 02885-2350
Phone: (401) 245-2860
Mailing address
PO BOX 411488
BOSTON, MA 02241-1488
Phone: (781) 867-2050 Fax:
Organization Subpart
No
Authorized Official
JAMIE ELLIOTT
COO
Phone: (781) 867-2050
Updated
Certification Date
May 26, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for VANTAGE HEALTHCARE LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMA110153150A
medicaidNH3118438
medicaidRI1366903551
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
2084P0800X
- Psychiatry & Neurology / Psychiatry

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.