NPIMap

Organization Active NPI

Vitas Healthcare Corporation Atlantic

  • Community Based Hospice Care Agency
  • Middlebury, CT
National Provider Identifier
1821131756
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0015 Issued in CT
Legal business name
VITAS HEALTHCARE CORPORATION ATLANTIC
Practice address
199 Park Road Ext
Suite 102
Middlebury, CT 06762
Phone
(203) 437-3111
Fax
(203) 437-3150
NPI assigned
Feb 14, 2007
Last updated
Dec 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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 0015 CT Primary

Addresses

Primary practice location

199 Park Road Ext
Suite 102
Middlebury, CT 06762

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
008007941MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421000054 DE Part A Provider - Hospice 5698684405 Practice locations: Fairfield, CT; Glastonbury, CT; Middlebury, CT; Waterbury, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821131756. Details of each certification follow.

Hospice certification: CCN 071533

Legal name
VITAS HEALTHCARE CORPORATION ATLANTIC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 29, 2005
Last certification
Dec 15, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 4, 1993 in DE
Enrollment address
199 Park Road Extension
Suite 102
Middlebury, CT 06762

Other NPIs with the same Medicare PAC ID 6

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 AtlanticCCN 071533 · All quality measures
Ownership
For-Profit
Certified
Mar 29, 2005
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
07D1024019Vitas Healthcare Corporation Atlantic199 Park Road Ext, Middlebury, CT 06762Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory
Tax ID family
Vitas Healthcare Corporation Atlantic11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

199 Park Road Ext
Ste 102
Middlebury, CT 06762
Phone (203) 437-3111

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 100%
Comfort Care Holdings Company Organization, Cincinnati, OH Corporation, Holding company 5% Or Greater Indirect Ownership Interest Apr 27, 2001 100%
Laura Lusebrink Individual W-2 Managing EmployeeAd; Oct 1, 2017
Kevin McNamara Individual Corporate DirectorChairman/Director Feb 24, 2004 33.3%
Vitas Hospice Services, LLC Organization, Miramar, FL LLC, Chain home office 5% Or Greater Direct Ownership Interest Apr 27, 2001 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
Michael Witzeman Individual Corporate OfficerVice President Apr 8, 2024
Kuang-Wen Tsao Individual W-2 Managing EmployeeMD; Jan 1, 2016
Vitas Healthcare Corporation Organization, Miramar, FL LLC 5% Or Greater Indirect Ownership Interest Apr 27, 2001 100%
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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 85

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

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1821131756",
    "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": "199 PARK ROAD EXT",
            "address_2": "SUITE 102",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "06762",
            "telephone_number": "203-437-3111",
            "fax_number": "203-437-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION ATLANTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-12-28",
        "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": "CT",
            "license": "0015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008007941",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.