NPIMap

Organization Active NPI

Hospice Care Network

  • Community Based Hospice Care Agency
  • Woodbury, NY
National Provider Identifier
1013972751
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2912500F Issued in NY
Legal business name
HOSPICE CARE NETWORK
Practice address
99 Sunnyside Blvd
Woodbury, NY 11797-2946
Phone
(516) 832-7100
Fax
(516) 224-6576
NPI assigned
Apr 18, 2006
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michele L Cusack
Title
Senior Vice President & Cfo
Phone
(516) 321-6058

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2912500F NY Primary
Community Based Hospice Care Agency 251G00000X
Inpatient Hospice 315D00000X 2912500F NY

Addresses

Primary practice location

99 Sunnyside Blvd
Woodbury, NY 11797-2946

Mailing address

99 Sunnyside Blvd
Woodbury, NY 11797-2946
Phone (516) 832-7100

Other practice location 1

540 White Plains Rd Ste 300
Tarrytown, NY 10591-5156
Phone (914) 666-4228

Other identifiers 1

IdentifierTypeStateIssuer
01093549MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040513000643 NY Part A Provider - Hospice 5395735278 Practice locations: Bay Shore, NY; Woodbury, NY; Tarrytown, NY; Melville, NY; Fresh Meadows, NY; Riverhead, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013972751. Details of each certification follow.

Hospice certification: CCN 331532

Legal name
HOSPICE CARE NETWORK
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 26, 1988
Last certification
Apr 12, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1988 in NY
Enrollment address
99 Sunnyside Blvd
Woodbury, NY 11797-2946

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Care of Long Island, Queens, South ShoreCCN 331532 · All quality measures
Ownership
Non-Profit
Certified
Oct 26, 1988
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5907 175th Pl
Ste 2
Fresh Meadows, NY 11365
Phone (718) 939-2273

4 W 2nd St
Riverhead, NY 11901
Phone (631) 295-1361

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William L Mack Individual Corporate OfficerVice Chairman Jan 1, 2015
Margaret M Crotty Individual Corporate OfficerChair-Elect Sep 30, 2021
Harry E Gindi Individual Corporate OfficerAssistant Secretary Jan 1, 2017
Richard T Miller Individual Corporate OfficerEvp & Chief Bus Strategy Officer Sep 1, 2017
Jeffrey a Kraut Individual Corporate OfficerEvp Strategy and Analytics Jan 1, 2017
Robert D Rosenthal Individual Corporate OfficerTreasurer Jun 3, 2021
Mark L Claster Individual Corporate OfficerImmediate Past Chairman Jan 1, 2017
Mark J Solazzo Individual Corporate OfficerEvp and Coo Jan 1, 2017
Richard D Goldstein Individual Corporate OfficerVice Chairman Jan 1, 2017
Northwell Healthcare Inc Organization, Westbury, NY Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%
David L Battinelli Individual Corporate OfficerEvp Physician-in-Chief Jan 1, 2022
Kathleen Gallo Individual Corporate OfficerEvp and Chief Learning Officer Jan 1, 2018
Donald Zucker Individual Corporate OfficerSecretary Jan 1, 2017
Barry Rubenstein Individual Corporate OfficerVice Chairman Jan 1, 2017
Michael a Epstein Individual Corporate OfficerChair, Board of Trustees May 29, 2019
Mark a. Gloade Individual Corporate OfficerSVP Deputy General Counsel Jan 1, 2017
Eugene S Tangney Individual Corporate OfficerSVP Chief Bus Continuity & Crisis Mar 10, 2021
Donna K Drummond Individual Corporate OfficerSVP & Chief Expense Officer Jan 1, 2018
Joseph S Moscola Individual Corporate OfficerEvp Enterprise Management Mar 25, 2021
Michael J Dowling Individual Corporate OfficerPresident/Ceo Jan 1, 2017
Corporate DirectorPresident/Ceo Jan 1, 2017
Laurence a Kraemer Individual Corporate OfficerEvp & Chief General Counsel Jan 1, 2017
Konstantine Costalas Individual Corporate OfficerSVP Managed Care Jan 20, 2022
Tara Liberman Individual W-2 Managing EmployeeExecutive Director Jan 3, 2022
Ralph a Nappi Individual Corporate OfficerExecutive Vice Chairman Jan 1, 2017
Michele L Cusack Individual Corporate OfficerExecutive Vice President & Cfo Sep 1, 2017

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 28

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 28

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 90

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 90

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1013972751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SUNNYSIDE BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972946",
            "telephone_number": "516-832-7100",
            "fax_number": "516-224-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SUNNYSIDE BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972946",
            "telephone_number": "516-832-7100",
            "fax_number": "516-224-6576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 White Plains Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tarrytown",
            "state": "NY",
            "postal_code": "105915156",
            "country_code": "US",
            "telephone_number": "914-666-4228",
            "fax_number": "914-666-0378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "2912500F",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NY",
            "license": "2912500F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01093549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.