Organization Active NPI

Vitas Healthcare Corporation Midwest

  • Community Based Hospice Care Agency
  • Southfield, MI
National Provider Identifier
1205947124
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
633542 Issued in MI
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

Updated by the provider on Dec 24, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
52011151MedicaidMI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.