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NPI Code Detail

MEDICARE: VITAS HEALTHCARE CORPORATION ATLANTIC

MEDICARE: VITAS HEALTHCARE CORPORATION ATLANTIC
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
1251G00000XCommunity Based Hospice Care Agency16321600PA

Other Identifiers

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

General Provider Information

NPI Number : 1629111893
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITAS HEALTHCARE CORPORATION ATLANTIC
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 : 2009 MACKENZIE WAY
Second Line : SUITE 110
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-5338
Country : US
Telephone Number : 412-799-2101
Fax Number : 412-799-2110
Authorized Official
Title or Position : CEO
Name : NICHOLAS WESTFALL
Credential :
Telephone Number : 305-374-4143
Provider Enumeration Date : 02/15/2007
Last Update Date : 12/28/2018

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Directions to “VITAS HEALTHCARE CORPORATION ATLANTIC ” Practice Location

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