NPIMap

Organization Active NPI

Vitas Healthcare Corporation California

  • Community Based Hospice Care Agency
  • Petaluma, CA
National Provider Identifier
1043353196
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
100000781 Issued in CA
Legal business name
VITAS HEALTHCARE CORPORATION CALIFORNIA
Practice address
3700 Lakeville Hwy
Suite 205
Petaluma, CA 94954-5671
Phone
(707) 787-2200
Fax
(707) 787-2250
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Deirdre Lawe
Title
Executive Vice President
Phone
(305) 350-6925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 100000781 CA Primary

Addresses

Primary practice location

3700 Lakeville Hwy
Suite 205
Petaluma, CA 94954-5671

Mailing address

100 S Biscayne Blvd
Suite 1500
Miami, FL 33131-2011
Phone (305) 374-4143

Other identifiers 1

IdentifierTypeStateIssuer
HPC01785FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Vitas Healthcare Corporation California10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

3700 Lakeville Hwy
Ste 205
Petaluma, CA 94954
Phone (707) 787-2200

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1043353196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BISCAYNE BLVD",
            "address_2": "SUITE 1500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312011",
            "telephone_number": "305-374-4143",
            "fax_number": "305-350-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 LAKEVILLE HWY",
            "address_2": "SUITE 205",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545671",
            "telephone_number": "707-787-2200",
            "fax_number": "707-787-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "LAWE",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "305-350-6925"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "100000781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01785F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.