| Name: | VITAS Healthcare Corporation Midwest |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Withdrawn |
| Date of registration: | 27 Mar 2001 (24 years ago) |
| Entity Number: | 000-003-474 |
| Register Number: | 000003474 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 255 E FIFTH STREET, 2600 CHEMED CENTERCINCINNATI, OH 45242 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871883611 | 2011-04-13 | 2018-12-24 | 3046 CORPORATE WAY, MIRAMAR, FL, 330256547, US | 2215 DECATUR HWY, SUITE 101, GARDENDALE, AL, 350712360, US | |||||||||||||||||||||||||||||
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| Phone | +1 305-350-5930 |
| Fax | 3053506993 |
| Phone | +1 205-502-5959 |
| Fax | 2055025966 |
Authorized person
| Name | NICK WESTFALL |
| Role | CEO |
| Phone | 3053506756 |
Taxonomy
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | E3725 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PIC1637E |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
