Active NPI
Vitas Innovative Hospice Care
- Community Based Hospice Care Agency
- Winter Park, FL
National Provider Identifier
1235358995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- ME023839
- Legal business name
- VITAS INNOVATIVE HOSPICE CARE
- Practice address
- 2075 Loch Lomond Dr
Winter Park, FL 32792-4183 - Phone
- (407) 670-6400
- Fax
- (407) 670-6430
- NPI assigned
- Apr 24, 2007
- 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
- Dr. Fidel Rodriguez, M.D.
- Title
- Team Physician
- Phone
- (407) 670-6400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | ME023839 | FL | Primary |
Addresses
Primary practice location
2075 Loch Lomond Dr
Winter Park, FL 32792-4183
Mailing address
19901 Villa Tuscany Dr
105
Orlando, FL 32821-4106
Phone (407) 239-6220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49027 | Medicaid | FL | |
| ME0023839 | Other | FL | STATE LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Vitas Healthcare Corporation of Florida
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Daytona Beach, FL
- NPI 1033264205
-
- Community Based Hospice Care Agency
- Maitland, FL
- NPI 1386799443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235358995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19901 VILLA TUSCANY DR",
"address_2": "105",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328214106",
"telephone_number": "407-239-6220",
"fax_number": "407-239-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 LOCH LOMOND DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924183",
"telephone_number": "407-670-6400",
"fax_number": "407-670-6430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAS INNOVATIVE HOSPICE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "FIDEL",
"authorized_official_title_or_position": "TEAM PHYSICIAN",
"authorized_official_telephone_number": "407-670-6400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "FL",
"license": "ME023839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49027",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME0023839",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.