# VITAS HEALTHCARE CORPORATION ATLANTIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VITAS HEALTHCARE CORPORATION ATLANTIC
- **Other names:** Northern Virginia Palliative Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134995533
- **Legal business name:** VITAS HEALTHCARE CORPORATION ATLANTIC
- **Authorized official:** NICHOLAS WESTFALL (PRESIDENT & CEO)
- **Authorized official phone:** (513) 618-2240

## Contact information

- **Practice address:** 3251 BLENHEIM BLVD STE 200, FAIRFAX, VA 22030-1504
- **Practice address phone:** (703) 270-4300
- **Mailing address:** 255 E 5TH ST STE 1050, CINCINNATI, OH 45202-4121
- **Mailing address phone:** (513) 618-2243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/30/2023