NPIMap

Organization Active NPI

United Hospice Inc.

  • Community Based Hospice Care Agency
  • New City, NY
National Provider Identifier
1538166319
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4353500F Issued in NY
Legal business name
UNITED HOSPICE INC.
Practice address
11 Stokum LN
New City, NY 10956-3505
Phone
(845) 634-4974
Fax
(845) 634-7549
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Mrs. Amy Stern
Title
Executive Director
Phone
(845) 634-4974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 4353500F NY Primary

Addresses

Primary practice location

11 Stokum LN
New City, NY 10956-3505

Mailing address

11 Stokum LN
New City, NY 10956-3505
Phone (845) 634-4974

Other identifiers 1

IdentifierTypeStateIssuer
01051101MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120111000975 NY Part A Provider - Hospice 1951578129 Practice locations: Goshen, NY; New City, NY
O20230809003035 NY Part B Supplier - Clinic/Group Practice 1951578129 Receives reassigned benefits from 6 practitioners
Practice locations: New City, NY

Hospice certification: CCN 331522

Legal name
UNITED HOSPICE INC.
Doing business as
UNITED HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 25, 1988
Last certification
Apr 20, 2010
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 1987 in NY
Enrollment address
11 Stokum LN
New City, NY 10956-3505

Care Compare: Hospice

Medicare Care Compare
Listed as
United HospiceCCN 331522
Ownership
Non-Profit
Certified
Jan 25, 1988
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

42 Park Pl
Goshen, NY 10924
Phone (845) 634-4974

11 Stokum Ln
New City, NY 10956
Phone (845) 634-4974

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Ursula Joyce Individual Corporate DirectorBoard Member Jan 19, 1988
Heidi Snyder Individual Corporate OfficerVice Chairman of the Board Jan 1, 2011
Judith Pachter Individual Corporate DirectorBoard Member Dec 18, 1990
Vincent Abbatecota Individual Corporate OfficerBoard Secretary Jan 1, 2011
Edward Fisher Individual Corporate DirectorBoard Member Apr 21, 2009
Amy Stern Individual W-2 Managing EmployeeExecutive Director Jan 4, 1988
Joseph Lagana Individual Corporate DirectorBoard Member May 19, 2009
Theresa McCormack-Raso Individual Corporate OfficerChairman of the Board Nov 18, 2008
Venera Airo Individual Corporate DirectorBoard Member May 23, 1995
Fran Gray Individual W-2 Managing EmployeeDirector of Finance Nov 26, 1990
Ann Byne Individual Corporate DirectorBoard Member Jan 16, 2004
Lisa Schachter Individual Corporate DirectorBoard Member May 1, 2010
Steven Dranow Individual Corporate DirectorBoard Member Feb 19, 2009
Cara Pace Individual Corporate OfficerCeo Jun 12, 2020

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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

Affiliated clinicians 6

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1538166319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STOKUM LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563505",
            "telephone_number": "845-634-4974",
            "fax_number": "845-634-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STOKUM LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563505",
            "telephone_number": "845-634-4974",
            "fax_number": "845-634-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-634-4974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "4353500F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01051101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.