Organization Active NPI

Hudson Valley Hospice Inc.

Doing business as Hudson Valley Hospice

  • Community Based Hospice Care Agency
  • Poughkeepsie, NY
National Provider Identifier
1508866286
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1302500F Issued in NY
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01049669MedicaidNY

Other names 1

  • Hudson Valley Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 HospiceCCN 331521 · All quality measures
Ownership
Other
Certified
Dec 9, 1987
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
33D2200361Hudson Valley Hospice Inc374 Violet Ave, Poughkeepsie, NY 12601Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Christina Myers Individual W-2 Managing EmployeeVP Human Resources Feb 18, 2025 2%
Ingrid Forte Individual W-2 Managing EmployeeExecutive Director Hospice Residenc Dec 1, 2023 2%
Manufacturers & Traders Trust Company Organization, Buffalo, NY Created for acquisition, Corporation, Financial institution 5% Or Greater Mortgage Interest Oct 31, 2023 25%
Michael S Kaminski Individual W-2 Managing EmployeeAd;President/Ceo Oct 1, 2015 40%
Stephanie M Wilson Individual Corporate OfficerVP Finance & Chief Financial Off Jan 1, 2024
Thomas J Vaculik Individual W-2 Managing EmployeeVP Information Technology Apr 15, 2017
Jason Wertheim Individual W-2 Managing EmployeeVP Patient Serices Jul 1, 2015
Pricilla S Kraut Individual W-2 Managing EmployeeVP Patient Access Sep 26, 2022 2%
Albert L Riddle Individual W-2 Managing EmployeeMD; Nov 1, 2022 2%
Teresa a Holstein Individual W-2 Managing EmployeeSenior VP, Chief Operating Officer Jul 10, 2023 10%
Karen Roberts Individual W-2 Managing EmployeeVP Mission Quality 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.

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.

Practitioners & affiliated clinicians

Affiliated clinicians 125

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

View all 125

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

Sources for this page

Verify at the official NPI Registry.