Active NPI
Vitas Healthcare Corporation Midwest
- Community Based Hospice Care Agency
- Southfield, MI
National Provider Identifier
1205947124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 633542
- Legal business name
- VITAS HEALTHCARE CORPORATION MIDWEST
- Practice address
- 26261 Evergreen Rd
Suite 400
Southfield, MI 48076-4447 - Phone
- (248) 204-6300
- Fax
- (248) 240-6250
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Westfall
- Title
- General Manager Financial Services
- Phone
- (305) 350-4141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 633542 | MI | Primary |
Addresses
Primary practice location
26261 Evergreen Rd
Suite 400
Southfield, MI 48076-4447
Mailing address
3046 Corporate Way
Miramar, FL 33025-6547
Phone (305) 350-5930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52011151 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545609600000",
"number": "1205947124",
"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": "305-350-5930",
"fax_number": "305-350-6993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26261 EVERGREEN RD",
"address_2": "SUITE 400",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480764447",
"telephone_number": "248-204-6300",
"fax_number": "248-240-6250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAS HEALTHCARE CORPORATION MIDWEST",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2018-12-24",
"status": "A",
"authorized_official_last_name": "WESTFALL",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "GENERAL MANAGER FINANCIAL SERVICES",
"authorized_official_telephone_number": "305-350-4141"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MI",
"license": "633542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52011151",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.