NPIMap

Organization Active NPI

East End Hospice, Inc

  • Community Based Hospice Care Agency
  • Westhampton Beach, NY
National Provider Identifier
1477575926
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5158500F Issued in NY
Legal business name
EAST END HOSPICE, INC
Practice address
481 Westhampton-Riverhead Rd
Westhampton Beach, NY 11978-7048
Phone
(631) 288-8400
Fax
(631) 288-8492
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Mary Crosby, RN, MPH, CHPN
Title
President/Ceo
Phone
(631) 288-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5158500F NY Primary

Addresses

Primary practice location

481 Westhampton-Riverhead Rd
Westhampton Beach, NY 11978-7048

Mailing address

PO Box 1048
Westhampton Beach, NY 11978-7048
Phone (631) 288-8400

Other identifiers 1

IdentifierTypeStateIssuer
01268437MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130530000606 NY Part A Provider - Hospice 2062400716 Practice locations: Westhampton Beach, NY

Hospice certification: CCN 331546

Legal name
EAST END HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 25, 1991
Last certification
Apr 9, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Feb 7, 1992 in NY
Enrollment address
481 Westhampton Riverhead Rd
Westhampton Beach, NY 11978

National Provider Directory

National Provider Directory

Locations

481 Riverhead Rd
Westhampton Beach, NY 11978
Phone (631) 288-8400

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Sally Richardson Individual Corporate DirectorBoard Member Aug 1, 2020
Carole Lee Nespole Individual Corporate DirectorBoard Meber Jun 2, 2012
Michael Merlo Individual Corporate DirectorBoard Treasurer Aug 3, 2019
Melissa Kanas Individual Corporate DirectorBoard Member Jun 5, 2021
Mary Crosby Individual Corporate OfficerPresident & Ceo Jan 1, 2019
Corporate DirectorPresident & Ceo Jan 1, 2019
W-2 Managing EmployeePresident & Ceo Jan 6, 2014
Operational/Managerial ControlPresident & Ceo Jan 1, 2019
Zachary Epley Individual Corporate DirectorBoard Member Jun 5, 2021
Peter Halstead Individual Corporate DirectorBoard Chairperson Aug 5, 2017
Elizabeth Rowe Individual Corporate DirectorBoard Secretary Jun 1, 2013
Louis J Avvento Individual Corporate OfficerVice President -Medical Director Apr 1, 2009
Corporate DirectorBoard Member -Vice President Aug 26, 1991
W-2 Managing EmployeeVice President-Medicla Director Aug 26, 1991
Gabrielle Bamberger Individual Corporate DirectorBoard Member Aug 5, 2017
Kathleen O'Donnell Individual W-2 Managing EmployeeBusiness Director Apr 1, 2018
Anthony Meyers Individual Corporate DirectorBoard Member Dec 6, 2008
Rajesh C Patel Individual Corporate DirectorBoard Member Apr 7, 2005
John Czygier Individual Corporate DirectorBoard Member Jun 6, 2020
Pete Meyers Individual Corporate DirectorVice Chairperson Aug 1, 2020
Jacalyn K Weinstein Individual Corporate DirectorBoard Member Aug 3, 2000

Owners & managing parties with NPI records 2

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

Practitioners 1

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

Affiliated clinicians 15

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

View all 15

Care Compare: Hospice

Medicare Care Compare
Listed as
East End Hospice, IncCCN 331546
Ownership
Non-Profit
Certified
Sep 25, 1991
Medicare certification status
ActiveFrom the Provider of Services file

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1477575926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1048",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119787048",
            "telephone_number": "631-288-8400",
            "fax_number": "631-288-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 WESTHAMPTON-RIVERHEAD RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119787048",
            "telephone_number": "631-288-8400",
            "fax_number": "631-288-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "631-288-8400",
        "authorized_official_credential": "RN, MPH, CHPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "5158500F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01268437",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

Verify at the official NPI Registry.