Organization Active NPI

Vitas Healthcare Corporation of Florida

  • Community Based Hospice Care Agency
  • Daytona Beach, FL
National Provider Identifier
1033264205
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
50370969 Issued in FL
Legal business name
VITAS HEALTHCARE CORPORATION OF FLORIDA
Practice address
2381 Mason Ave
Suite 100
Daytona Beach, FL 32117-5162
Phone
(386) 671-2792
Fax
(386) 615-2250
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nick Westfall
Title
Ceo
Phone
(305) 374-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 50370969 FL Primary

Addresses

Primary practice location

2381 Mason Ave
Suite 100
Daytona Beach, FL 32117-5162

Mailing address

3046 Corporate Way
Miramar, FL 33025-6547
Phone (305) 350-6756

Other identifiers 1

IdentifierTypeStateIssuer
602600MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Vitas Healthcare Corporation of Florida3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2381 Mason Ave
Ste 100
Daytona Beach, FL 32117
Phone (386) 366-6100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1033264205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 CORPORATE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256547",
            "telephone_number": "305-350-6756",
            "fax_number": "305-350-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 MASON AVE",
            "address_2": "SUITE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175162",
            "telephone_number": "386-671-2792",
            "fax_number": "386-615-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-374-4143"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "50370969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.