Provider Demographics
NPI:1447399746
Name:VITAS HEALTHCARE OF TEXAS, L.P.
Entity Type:Organization
Organization Name:VITAS HEALTHCARE OF TEXAS, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-374-4143
Mailing Address - Street 1:3046 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-6547
Mailing Address - Country:US
Mailing Address - Phone:305-374-4143
Mailing Address - Fax:
Practice Address - Street 1:6100 WESTERN PL
Practice Address - Street 2:8TH FLOOR, TOWER I
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-4600
Practice Address - Country:US
Practice Address - Phone:817-870-7000
Practice Address - Fax:817-870-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006982251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001000921Medicaid
451553Medicare Oscar/Certification
TX45-1553Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER