Healthcare Provider Details
I. General information
NPI: 1104009992
Provider Name (Legal Business Name): VITAS CARE SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/14/2007
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16800 NW 2ND AVE SUITE 400
NORTH MIAMI BEACH FL
33169-5549
US
IV. Provider business mailing address
100 S BISCAYNE BLVD SUITE 1500
MIAMI FL
33131-2011
US
V. Phone/Fax
- Phone: 305-350-6925
- Fax: 305-350-6784
- Phone: 305-374-4143
- Fax: 305-350-6784
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEIRDRE
LAWE
Title or Position: EXECUTIVE VICE PRESIDENT
Credential:
Phone: 305-350-6925