NPIMap

Organization Active NPI

Niagara Hospice, Inc.

  • Community Based Hospice Care Agency
  • Lockport, NY
National Provider Identifier
1477652113
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
3101501F Issued in NY
Legal business name
NIAGARA HOSPICE, INC.
Practice address
4675 Sunset Dr
Lockport, NY 14094-1231
Phone
(716) 439-4417
Fax
(716) 439-6035
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
David Thomas Lee
Title
Director of Information Systems
Phone
(716) 280-0729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 3101501F NY Primary

Addresses

Primary practice location

4675 Sunset Dr
Lockport, NY 14094-1231

Mailing address

4675 Sunset Dr
Lockport, NY 14094-1231
Phone (716) 439-4417

Other identifiers 1

IdentifierTypeStateIssuer
01078477MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinical@niahoshcny.netsmartdirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060111000092 NY Part A Provider - Hospice 4587687066 Practice locations: Lockport, NY

Hospice certification: CCN 331530

Legal name
NIAGARA HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 31, 1988
Last certification
Aug 1, 2012
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Oct 2, 1982 in NY
Enrollment address
4675 Sunset Drive
Lockport, NY 14094

Care Compare: Hospice

Medicare Care Compare
Listed as
Niagara Hospice IncCCN 331530
Ownership
Non-Profit
Certified
Aug 31, 1988
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1035384Niagara Hospice4675 Sunset Drive, Lockport, NY 14094Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2186 Liberty Dr
Niagara Falls, NY 14304
Phone (716) 215-2085

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Janice Litz Individual Corporate Director Nov 8, 2004
Sharon Hewner Individual Corporate Director Apr 3, 2000
John Lomeo Individual Corporate OfficerCeo Aug 1, 2000 100%
W-2 Managing EmployeeCeo Aug 1, 2000 100%
Dan Mandaville Individual Corporate Director Mar 3, 2000

Practitioners & affiliated clinicians

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1477652113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 SUNSET DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941231",
            "telephone_number": "716-439-4417",
            "fax_number": "716-439-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 SUNSET DR",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941231",
            "telephone_number": "716-439-4417",
            "fax_number": "716-439-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF INFORMATION SYSTEMS",
        "authorized_official_telephone_number": "716-280-0729"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "3101501F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01078477",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinical@niahoshcny.netsmartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Netsmart Homecare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4675 Sunset Dr",
            "city": "Lockport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140941231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.