VITAS HEALTHCARE CORPORATION MIDWEST NPI 1902134299

NPI Information

NPI: 1902134299
Provider Name: VITAS HEALTHCARE CORPORATION MIDWEST
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 14D2006560

Address:
8 EXECUTIVE DR
STE 150
FAIRVIEW HEIGHTS, IL
ZIP 62208
Phone: (618) 622-9073
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VITAS HEALTHCARE CORPORATION MIDWEST is a hospice care community based in Fairview Heights, IL. VITAS HEALTHCARE CORPORATION MIDWEST NPI is 1902134299. The provider is registered as an organization entity type.

The provider's business location address is:

8 EXECUTIVE DR
STE 150
FAIRVIEW HEIGHTS, IL
ZIP 62208-345
Phone: (618) 622-9073
Fax: (618) 622-9230

The provider's authorized official is Jorge Melero .
The authorized official title is Sr. Director and has the following contact phone number (305) 350-6756.

The CLIA number assigned to this NPI record is 14D2006560 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2009 and was last updated on 11/28/2023.

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				No
2	251G00000X	Hospice Care, Community Based		2002822	ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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