NPIMap

Organization Active NPI

Vitas Healthcare Corporation Midwest

  • Community Based Hospice Care Agency
  • Fairview Heights, IL
National Provider Identifier
1902134299
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2002822 Issued in IL
Legal business name
VITAS HEALTHCARE CORPORATION MIDWEST
Practice address
8 Executive Dr
Ste 150
Fairview Heights, IL 62208-1345
Phone
(618) 622-9073
Fax
(618) 622-9230
NPI assigned
Nov 24, 2009
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Jorge Melero
Title
Sr. Director
Phone
(305) 350-6756

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2002822 IL Primary
Community Based Hospice Care Agency 251G00000X NU

Addresses

Primary practice location

8 Executive Dr
Ste 150
Fairview Heights, IL 62208-1345

Mailing address

3046 Corporate Way
Suite 1300
Miramar, FL 33025-2011
Phone (305) 350-6756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100420000339 IL Part A Provider - Hospice 3173566213 Practice locations: Fairview Heights, IL; Litchfield, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902134299. Details of each certification follow.

Hospice certification: CCN 141634

Legal name
VITAS HEALTHCARE CORPORATION MIDWEST
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 2, 2011
Last certification
Mar 17, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
16 Executive Dr
Ste 100
Fairview Heights, IL 62208-1366

Other NPIs with the same Medicare PAC ID 4

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 MidwestCCN 141634 · All quality measures
Ownership
For-Profit
Certified
Feb 2, 2011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Vitas Healthcare Corporation Midwest8 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.

Locations

3046 Corporate Way
Ste 1300
Miramar, FL 33025

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 Aug 19, 2009
Comfort Care Holdings Company Organization, Cincinnati, OH Corporation 5% Or Greater Indirect Ownership Interest Apr 27, 2001 100%
Kevin McNamara Individual Corporate Director Aug 19, 2009
Vitas Hospice Services, LLC Organization, Miramar, FL LLC 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
Betsy Mueller Individual W-2 Managing EmployeeAd; Oct 14, 2024
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 100%
Jonathan J Reed Individual W-2 Managing EmployeeMD; Nov 12, 2024
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 4

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": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1902134299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 CORPORATE WAY",
            "address_2": "SUITE 1300",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252011",
            "telephone_number": "305-350-6756",
            "fax_number": "305-350-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE DR",
            "address_2": "STE 150",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081345",
            "telephone_number": "618-622-9073",
            "fax_number": "618-622-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAS HEALTHCARE CORPORATION MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "MELERO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "305-350-6756"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2002822",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

Verify at the official NPI Registry.