VITAS HEALTHCARE CORPORATION OF GEORGIA NPI 1932242260

NPI Information

NPI: 1932242260
Provider Name: VITAS HEALTHCARE CORPORATION OF GEORGIA
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 11D0913926

Address:
2000 RIVEREDGE PKWY STE GL100
ATLANTA, GA
ZIP 30328
Phone: (404) 843-6500
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VITAS HEALTHCARE CORPORATION OF GEORGIA is a hospice care community based in Atlanta, GA. VITAS HEALTHCARE CORPORATION OF GEORGIA NPI is 1932242260. The provider is registered as an organization entity type.

The provider's business location address is:

2000 RIVEREDGE PKWY STE GL100
ATLANTA, GA
ZIP 30328-812
Phone: (404) 843-6500
Fax: (404) 843-6510

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 11D0913926 - 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 5/17/2021.

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		060-217-H	GEORGIA	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	0747227A	MEDICAID	GEORGIA

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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