MEDICARE: VITAS HEALTHCARE CORPORATION OF OHIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	0067HSP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568505105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITAS HEALTHCARE CORPORATION OF OHIO

Provider Business Mailing Address
First Line	:	3046 CORPORATE WAY
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-6547
Country	:	US
Telephone Number	:	305-374-4143
Fax Number	:

Provider Business Practice Location Address
First Line	:	11500 NORTHLAKE DR
Second Line	:	SUITE 400
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1650
Country	:	US
Telephone Number	:	513-742-6310
Fax Number	:	513-742-6318

Authorized Official
Title or Position	:	CEO
Name	:	NICHOLAS WESTFALL
Credential	:
Telephone Number	:	305-374-4143

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	12/31/2018

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