VITAS HEALTHCARE CORPORATION ATLANTIC NPI 1821131756

NPI Information

NPI: 1821131756
Provider Name: VITAS HEALTHCARE CORPORATION ATLANTIC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 07D1024019

Address:
199 PARK ROAD EXT
SUITE 102
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 437-3111
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VITAS HEALTHCARE CORPORATION ATLANTIC is a hospice care community based in Middlebury, CT. VITAS HEALTHCARE CORPORATION ATLANTIC NPI is 1821131756. The provider is registered as an organization entity type.

The provider's business location address is:

199 PARK ROAD EXT
SUITE 102
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 437-3111
Fax: (203) 437-3150

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 07D1024019 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2007 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		0015	CONNECTICUT	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	008007941	MEDICAID	CONNECTICUT

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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