NPIMap

Organization Active NPI

Visiting Nurse Service and Hospice of Suffolk Inc.

  • Community Based Hospice Care Agency
  • Northport, NY
National Provider Identifier
1184652018
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5157500F Issued in NY
Legal business name
VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC.
Practice address
505 Main St
Northport, NY 11768-1954
Phone
(631) 261-7200
Fax
(631) 912-1121
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Silvia Cota, MBA, BSN, RN, CEN
Title
Executive Director
Phone
(631) 261-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5157500F NY Primary

Addresses

Primary practice location

505 Main St
Northport, NY 11768-1954

Mailing address

505 Main St
Northport, NY 11768-1954
Phone (631) 261-7200

Other identifiers 1

IdentifierTypeStateIssuer
01122701MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050510000442 NY Part A Provider - Hospice 5294646436 Practice locations: East Northport, NY

Hospice certification: CCN 331535

Legal name
VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 2, 1989
Last certification
Nov 6, 2008
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 1952 in NY
Enrollment address
101 Laurel Rd
East Northport, NY 11731-1415

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
VNS and Hospice of Suffolk, IncCCN 331535
Ownership
Non-Profit
Certified
Jun 2, 1989
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Visiting Nurse Service and Hospice of Suffolk Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Laurel Rd
East Northport, NY 11731
Phone (516) 962-1191

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Silvia Cota Individual Corporate OfficerCeo Jun 3, 2024 100%
Operational/Managerial ControlCeo Jun 3, 2024 100%
Nicholas Nassau Individual W-2 Managing EmployeeController Nov 29, 2021

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1184652018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681954",
            "telephone_number": "631-261-7200",
            "fax_number": "631-912-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MAIN ST",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681954",
            "telephone_number": "631-261-7200",
            "fax_number": "631-912-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE SERVICE AND HOSPICE OF SUFFOLK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "COTA",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-261-7200",
        "authorized_official_credential": "MBA, BSN, RN, CEN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "5157500F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01122701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.