VITAS HEALTHCARE CORPORATION ATLANTIC NPI 1629111893

NPI Information

NPI: 1629111893
Provider Name: VITAS HEALTHCARE CORPORATION ATLANTIC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 39D1037862

Address:
2009 MACKENZIE WAY
SUITE 110
CRANBERRY TOWNSHIP, PA
ZIP 16066
Phone: (412) 799-2101
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VITAS HEALTHCARE CORPORATION ATLANTIC is a hospice care community based in Cranberry Township, PA. VITAS HEALTHCARE CORPORATION ATLANTIC NPI is 1629111893. The provider is registered as an organization entity type.

The provider's business location address is:

2009 MACKENZIE WAY
SUITE 110
CRANBERRY TOWNSHIP, PA
ZIP 16066-338
Phone: (412) 799-2101
Fax: (412) 799-2110

The provider's authorized official is Nicholas Westfall .
The authorized official title is Ceo and has the following contact phone number (305) 374-4143.

The CLIA number assigned to this NPI record is 39D1037862 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 12/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		16321600	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0014213100007	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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