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NPI Code Detail

MEDICARE: VITALIS HOSPICE CARE INC

MEDICARE: VITALIS HOSPICE CARE INC
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 Agency

General Provider Information

NPI Number : 1932041498
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITALIS HOSPICE CARE INC
Provider Business Mailing Address
First Line : 2122 KRATKY RD STE 200
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-1706
Country : US
Telephone Number : 314-328-6067
Fax Number :
Provider Business Practice Location Address
First Line : 2122 KRATKY RD STE 200
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-1706
Country : US
Telephone Number : 314-328-6067
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : TIMOTHY SLATER
Credential :
Telephone Number : 314-328-6067
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “VITALIS HOSPICE CARE INC ” Practice Location

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