Active NPI
Hudson Valley Hospice Inc.
Doing business as Hudson Valley Hospice
- Community Based Hospice Care Agency
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 1302500F
- Legal business name
- HUDSON VALLEY HOSPICE INC.
- Doing business as
- Hudson Valley Hospice
- Practice address
- 374 Violet Ave
Poughkeepsie, NY 12601 - Phone
- (845) 473-2273
- Fax
- (845) 790-0009
- NPI assigned
- Jul 26, 2005
- Last updated
- Dec 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William J. Mulvey
- Title
- Cfo
- Phone
- (845) 473-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 1302500F | NY | Primary |
Addresses
Primary practice location
374 Violet Ave
Poughkeepsie, NY 12601
Mailing address
374 Violet Ave
Poughkeepsie, NY 12601-1034
Phone (845) 473-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01049669 | Medicaid | NY |
Other names 1
- Hudson Valley Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030611000030 | NY | Part A Provider - Hospice | 0143130344 | Practice locations: Hyde Park, NY; Poughkeepsie, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508866286. Details of each certification follow.
Hospice certification: CCN 331521
- Legal name
- HUDSON VALLEY HOSPICE INC.
- Doing business as
- HUDSON VALLEY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 9, 1987
- Last certification
- Sep 21, 2017
- Ownership / control type
- Other
- Organization structure
- Corporation
- Incorporated
- Jul 19, 1982 in NY
- Enrollment address
- 374 Violet Ave
Poughkeepsie, NY 12601-1034
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hudson Valley Hospice
- Ownership
- Other
- Certified
- Dec 9, 1987
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2200361 | Hudson Valley Hospice Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 11
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Christina Myers | W-2 Managing Employee | Feb 18, 2025 | 2% |
| Ingrid Forte | W-2 Managing Employee | Dec 1, 2023 | 2% |
| Manufacturers & Traders Trust Company | 5% Or Greater Mortgage Interest | Oct 31, 2023 | 25% |
| Michael S Kaminski | W-2 Managing Employee | Oct 1, 2015 | 40% |
| Stephanie M Wilson | Corporate Officer | Jan 1, 2024 | |
| Thomas J Vaculik | W-2 Managing Employee | Apr 15, 2017 | |
| Jason Wertheim | W-2 Managing Employee | Jul 1, 2015 | |
| Pricilla S Kraut | W-2 Managing Employee | Sep 26, 2022 | 2% |
| Albert L Riddle | W-2 Managing Employee | Nov 1, 2022 | 2% |
| Teresa a Holstein | W-2 Managing Employee | Jul 10, 2023 | 10% |
| Karen Roberts | W-2 Managing Employee | Apr 15, 2017 | 2% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Haworth, NJ
- NPI 1699724880
W-2 Managing Employee
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Poughkeepsie, NY
- NPI 1285264812
Practitioners & affiliated clinicians
Affiliated clinicians 125
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": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1508866286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 VIOLET AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011034",
"telephone_number": "845-473-2273",
"fax_number": "845-790-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 VIOLET AVE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-473-2273",
"fax_number": "845-790-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUDSON VALLEY HOSPICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "MULVEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "845-473-2273",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NY",
"license": "1302500F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01049669",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hudson Valley Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Poughkeepsie, NY
- Hudson Valley Eye Surgeons at VBMC LLC
- Hudson Valley Family Eye Care. Inc. (Raymond Opticians)
- Hudson Valley Golden Care Inc.
- Hudson Valley Hematology Oncology Associates RLLP
- Hudson Valley Home Care
- Hudson Valley Infectious Diseases, P.C.
- Hudson Valley Integrated Medicine PLLC
- Hudson Valley Medical Doctors
- Hudson Valley Medical Health Choices, P.C.
- Hudson Valley Mental Health, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.