Healthcare Provider Details

I. General information

NPI: 1659410850
Provider Name (Legal Business Name): VITAS HEALTHCARE OF TEXAS, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 04/06/2023
Certification Date: 04/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 EASTSIDE ST SUITE 200
HOUSTON TX
77098-1935
US

IV. Provider business mailing address

3046 CORPORATE WAY
MIRAMAR FL
33025-6547
US

V. Phone/Fax

Practice location:
  • Phone: 713-663-4900
  • Fax: 713-663-4973
Mailing address:
  • Phone: 305-374-4143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number006974
License Number StateTX

VIII. Authorized Official

Name: NICHOLAS WESTFALL
Title or Position: PRESIDENT & CEO
Credential:
Phone: 513-618-2240