NPIMap

Organization Active NPI

Vitas Healthcare Corporation of Illinois

  • Community Based Hospice Care Agency
  • Peru, IL
National Provider Identifier
1295877843
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002160 Issued in IL
Legal business name
VITAS HEALTHCARE CORPORATION OF ILLINOIS
Practice address
1040 4TH St
Peru, IL 61354-3610
Phone
(815) 220-0021
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 2002160 IL Primary

Addresses

Primary practice location

1040 4TH St
Peru, IL 61354-3610

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL vitas.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080805000646 IL Part A Provider - Hospice 5890717086 Practice locations: Peoria, IL; Peru, IL

Hospice certification: CCN 141531

Legal name
VITAS HEALTHCARE CORPORATION OF ILLINOIS.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 9, 1990
Last certification
Oct 30, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 27, 2001 in DE
Enrollment address
1040 4TH St
Peru, IL 61354-3610

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Vitas Healthcare Corporation of IllinoisCCN 141531
Ownership
For-Profit
Certified
Jan 9, 1990
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
14D0908644Vitas Healthcare Corporation of Illinois1040 4TH St, Peru, IL 61354Certificate of waiverNov 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Vitas Healthcare Corporation of Illinois8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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 5% Or Greater Direct Ownership Interest Mar 14, 2011
Comfort Care Holdings Company Organization, Cincinnati, OH Holding company 5% Or Greater Direct Ownership Interest Mar 14, 2011 100%
Kevin McNamara Individual Corporate DirectorChairman/Director Feb 24, 2004 33.3%
Vitas Hospice Services, LLC Organization, Miramar, FL LLC 5% Or Greater Direct Ownership Interest Apr 27, 2025 100%
Joel Wherley Individual Corporate OfficerPresident & Ceo Aug 11, 2025
Corporate DirectorPresident & Ceo Aug 11, 2025
Alexander Fernandez Individual Corporate OfficerExecutive Vice President & Cfo Mar 23, 2023
Chelsea Cook-McCarrell Individual W-2 Managing EmployeeAd; Nov 1, 2021
Michael Witzeman Individual Corporate OfficerVice President Apr 8, 2024
Vitas Healthcare Corporation Organization, Miramar, FL Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Apr 27, 2001
David M Gill Individual W-2 Managing EmployeeMD; Jun 1, 2022
Brian Judkins Individual Corporate OfficerSecretary & General Counsel Aug 31, 2020
Corporate DirectorSecretary & General Counsel Aug 31, 2020

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 3

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1295877843",
    "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": "1040 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543610",
            "telephone_number": "815-220-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "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": "IL",
            "license": "2002160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vitas.com",
            "affiliation": "N",
            "address_1": "1040 4th St",
            "city": "Peru",
            "state": "IL",
            "country_code": "US",
            "postal_code": "613543610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

Verify at the official NPI Registry.