NPIMap

Organization Active NPI

Community Care of Western New York, Inc.

Doing business as HomeCare & Hospice

  • Community Based Hospice Care Agency
  • Allegany, NY
National Provider Identifier
1275523482
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMMUNITY CARE OF WESTERN NEW YORK, INC.
Doing business as
HomeCare & Hospice
Practice address
115 E Main St
Allegany, NY 14706-1318
Phone
(716) 372-2106
Fax
(716) 372-1148
NPI assigned
Oct 27, 2005
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Ms. Melissa Sullivan
Title
Chief Executive Officer
Phone
(716) 372-2106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

115 E Main St
Allegany, NY 14706-1318

Mailing address

115 E Main St
Allegany, NY 14706-1318
Phone (716) 372-2106

Other identifiers 1

IdentifierTypeStateIssuer
01277590MedicaidNY

Other names 1

  • HomeCare & Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000365 NY Part A Provider - Hospice 7618142035 Practice locations: Arcade, NY; Batavia, NY; Little Valley, NY; Olean, NY; Wellsville, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275523482. Details of each certification follow.

Hospice certification: CCN 331549

Legal name
COMMUNITY CARE OF WESTERN NEW YORK, INC.
Doing business as
HOMECARE & HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 28, 1992
Last certification
Mar 4, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Mar 2, 1971 in NY
Enrollment address
1225 W State St
Olean, NY 14760-2135

Care Compare: Hospice

Medicare Care Compare
Listed as
Homecare & HospiceCCN 331549 · All quality measures
Ownership
Non-Profit
Certified
Jan 28, 1992
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Community Care of Western New York 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

563 Main St
Arcade, NY 14009
Phone (585) 653-5290

29 Liberty St
Ste 6
Batavia, NY 14020
Phone (585) 343-7596

11634 Route 16
Delevan, NY 14042
Phone (716) 492-0604

1225 W State St
Olean, NY 14760
Phone (716) 372-2106

194 N Main St
Wellsville, NY 14895
Phone (585) 593-7600

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Andrea Aldinger Individual 5% Or Greater Direct Ownership InterestBoard Member Mar 18, 2019 11.11%
Corporate Director Mar 18, 2019
Operational/Managerial ControlBoard Member Mar 18, 2019
Jackson Lee Stewart Individual Contracted Managing EmployeeBoard Member Mar 1, 2018
5% Or Greater Direct Ownership InterestBoard Member Mar 1, 2018 11.11%
Corporate DirectorBoard Member Mar 1, 2018
Michael Martello Individual 5% Or Greater Direct Ownership InterestBoard Member May 1, 2014 11.11%
Corporate OfficerTreasurer Jul 9, 2018
Corporate DirectorBoard Member May 1, 2014
Operational/Managerial ControlBoard Member May 1, 2014
Maureen Mooney-Myers Individual 5% Or Greater Direct Ownership InterestBoard Member May 1, 1984 11.11%
Corporate OfficerSecretary May 1, 2011
Corporate DirectorBoard Member May 1, 1984
Operational/Managerial ControlBoard Member May 1, 1984
Donna C Bliven Individual 5% Or Greater Direct Ownership InterestBoard Member Sep 1, 2016 11.11%
Corporate DirectorBoard Member Sep 1, 2016
Operational/Managerial ControlBoard Member Sep 1, 2014
Susan Nelson Individual Corporate OfficerChief Financial Officer Sep 21, 1987
W-2 Managing EmployeeChief Financial Officer Sep 21, 1987
Jay Gsell Individual 5% Or Greater Direct Ownership InterestBoard Member May 1, 2007 11.11%
Corporate DirectorBoard Member May 1, 2007
Operational/Managerial ControlBoard Member May 1, 2007
Robert Bennett Individual 5% Or Greater Direct Ownership InterestBoard Member Sep 4, 2014 11.11%
Corporate OfficerVice President Mar 5, 2020
Corporate DirectorBoard Member Sep 4, 2014
Operational/Managerial ControlBoard Member Sep 4, 2014
Pierre Dionne Individual 5% Or Greater Direct Ownership InterestBoard Member Oct 1, 1990 11.11%
Corporate DirectorBoard Member Oct 1, 1990
Operational/Managerial ControlBoard Member Oct 1, 1990
Michael Macwilliams Individual 5% Or Greater Direct Ownership InterestBoard Member Apr 1, 1981 11.11%
Corporate OfficerPresident May 1, 2011
Corporate DirectorBoard Member Apr 1, 1981
Operational/Managerial ControlBoard Member Apr 1, 1981

Practitioners & affiliated clinicians

Practitioners 7

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1275523482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147061318",
            "telephone_number": "716-372-2106",
            "fax_number": "716-372-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST",
            "city": "ALLEGANY",
            "state": "NY",
            "postal_code": "147061318",
            "telephone_number": "716-372-2106",
            "fax_number": "716-372-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE OF WESTERN NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-372-2106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01277590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeCare & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allegany, NY

Sources for this page

Verify at the official NPI Registry.