NPIMap

Organization Active NPI

Vitas Healthcare Corporation of California

  • Community Based Hospice Care Agency
  • Covina, CA
National Provider Identifier
1275677387
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
980001424 Issued in CA
Legal business name
VITAS HEALTHCARE CORPORATION OF CALIFORNIA
Practice address
1343 N Grand Ave
Suite 100
Covina, CA 91724-4020
Phone
(626) 918-2273
Fax
(626) 960-8587
NPI assigned
Feb 20, 2007
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 980001424 CA Primary

Addresses

Primary practice location

1343 N Grand Ave
Suite 100
Covina, CA 91724-4020

Mailing address

3046 Corporate Way
Miramar, FL 33025-6547
Phone (305) 374-4143

Other identifiers 1

IdentifierTypeStateIssuer
HPC01608GMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624000391 CA Part A Provider - Hospice 8224923081 Practice locations: Covina, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275677387. Details of each certification follow.

Hospice certification: CCN 051608

Legal name
VITAS HEALTHCARE CORPORATION OF CALIFORNIA
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 29, 1993
Last certification
Jun 21, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 28, 1994 in CA
Enrollment address
1343 N Grand Avenue
Suite 100
Covina, CA 91724-4043

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Vitas Healthcare CorpCCN 051608 · All quality measures
Ownership
For-Profit
Certified
Nov 29, 1993
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0916949Vitas Healthcare Corp of California1343 N Grand Ave Ste 100, Covina, CA 91724Certificate of waiverJul 4, 2026

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.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chemed Corporation Organization, Cincinnati, OH Corporation 5% Or Greater Indirect Ownership Interest Apr 27, 2001
Comfort Care Holdings Company Organization, Cincinnati, OH Holding company 5% Or Greater Indirect Ownership Interest Apr 27, 2001 100%
Nicholas M Westfall Individual Corporate OfficerPresident & Ceo Jun 16, 2016
Corporate Director Jan 19, 2022
Chrystal Waters Individual W-2 Managing EmployeeAd; Apr 6, 2025
Kevin McNamara Individual Corporate DirectorChairman-Director Feb 24, 2004 33%
Vitas Hospice Services, LLC Organization, Miami, FL LLC 5% Or Greater Direct Ownership Interest Apr 27, 2001 100%
Alexander Fernandez Individual Corporate OfficerExecutive Vice President & Cfo Mar 23, 2023
Michael Witzeman Individual Corporate OfficerVice President Apr 8, 2024
Vitas Healthcare Corporation Organization, Miami, FL Corporation 5% Or Greater Indirect Ownership Interest Apr 27, 2001 100%
Brian Judkins Individual Corporate OfficerSecretary/General Counsel Sep 1, 2020
Corporate Director Sep 1, 2020
Brandon Wolfeld Individual W-2 Managing EmployeeMD; Jul 31, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 33

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 33

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1275677387",
    "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": "305-374-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N GRAND AVE",
            "address_2": "SUITE 100",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917244020",
            "telephone_number": "626-918-2273",
            "fax_number": "626-960-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-374-4143"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980001424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01608G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.