Organization Active NPI

Hospice-VNSW WPHC, Inc.

  • Community Based Hospice Care Agency
  • White Plains, NY
National Provider Identifier
1831277227
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5902501F Issued in NY
Legal business name
HOSPICE-VNSW WPHC, INC.
Practice address
311 North St
Suite 204
White Plains, NY 10605-2217
Phone
(914) 682-1484
Fax
(914) 559-3092
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Authorized official

Name
Ms. Kathleen Colburn
Title
Ceo
Phone
(914) 682-1484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 5902501F NY Primary

Addresses

Primary practice location

311 North St
Suite 204
White Plains, NY 10605-2217

Mailing address

311 North St
Suite 204
White Plains, NY 10605-2217
Phone (914) 682-1484

Other identifiers 1

IdentifierTypeStateIssuer
01353960MedicaidNY

Other names 1

  • Hospice of Westchester; Hospice & Palliative Care of Westchester Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305001055 NY Part A Provider - Hospice 2163316746 Practice locations: White Plains, NY

Hospice certification: CCN 331520

Legal name
HOSPICE-VNSW WPHC INC
Doing business as
HOSPICE OF WESTCHESTER
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 19, 1988
Last certification
Jun 5, 1998
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 1991 in NY
Enrollment address
1025 Westchester Ave
Ste 200
White Plains, NY 10604-3508

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of WestchesterCCN 331520
Ownership
Non-Profit
Certified
Feb 19, 1988
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

311 North St
Ste 204
White Plains, NY 10605
Phone (914) 637-9691

1025 Westchester Ave
Ste 200
White Plains, NY 10604
Phone 9146821484113

95 S Broadway
White Plains, NY 10601
Phone (914) 684-1980

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
Gavin Hougham Individual Corporate DirectorBoard Member Jan 19, 2022
Catherine a McGovern Individual Corporate DirectorBoard Member Jan 1, 2020
Michael J Palumbo Individual Corporate DirectorBoard Member Jan 1, 2017
Stewart Ault Individual Corporate DirectorBoard Member Jan 19, 2022
Mary Spengler Individual Corporate OfficerChief Executive Officer May 9, 2011 100%
W-2 Managing EmployeeAd;Chief Executive Officer May 9, 2011 100%
Tatyana Hladki Individual Corporate DirectorBoard Member Jan 19, 2022
James O'Conner Individual Corporate DirectorBoard Member Jan 1, 2018
Gary S Tatz Individual W-2 Managing EmployeeMD; Aug 1, 2022 100%
William J Flooks Individual Corporate DirectorBoard Member Jan 19, 2022
George a Whitehead Individual Corporate DirectorBoard Member Jan 22, 2016
Joanne Ciaramella Individual Corporate DirectorBoard Member Jan 1, 2017
Mary G. Gardiner Individual Corporate DirectorBoard Member Jan 20, 2016
Mary F Barrett Individual Corporate DirectorBoard Member Jan 1, 2021
Amy Ansehl Individual Corporate DirectorBoard Member Jan 1, 2019
Michele Geller Individual Corporate DirectorBoard Member Jan 1, 2016
Beverly a Thornhill Individual Corporate DirectorBoard Member Mar 1, 2015

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1831277227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NORTH ST",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052217",
            "telephone_number": "914-682-1484",
            "fax_number": "914-559-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NORTH ST",
            "address_2": "SUITE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052217",
            "telephone_number": "914-682-1484",
            "fax_number": "914-559-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE-VNSW WPHC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-682-1484",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "5902501F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01353960",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Westchester; Hospice & Palliative Care of Westchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.