Active NPI
Hospice-VNSW WPHC, Inc.
- Community Based Hospice Care Agency
- White Plains, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 5902501F
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01353960 | Medicaid | NY |
Other names 1
- Hospice of Westchester; Hospice & Palliative Care of Westchester
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Westchester
- Ownership
- Non-Profit
- Certified
- Feb 19, 1988
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gavin Hougham | Corporate Director | Jan 19, 2022 | |
| Catherine a McGovern | Corporate Director | Jan 1, 2020 | |
| Michael J Palumbo | Corporate Director | Jan 1, 2017 | |
| Stewart Ault | Corporate Director | Jan 19, 2022 | |
| Mary Spengler | Corporate Officer | May 9, 2011 | 100% |
| W-2 Managing Employee | May 9, 2011 | 100% | |
| Tatyana Hladki | Corporate Director | Jan 19, 2022 | |
| James O'Conner | Corporate Director | Jan 1, 2018 | |
| Gary S Tatz | W-2 Managing Employee | Aug 1, 2022 | 100% |
| William J Flooks | Corporate Director | Jan 19, 2022 | |
| George a Whitehead | Corporate Director | Jan 22, 2016 | |
| Joanne Ciaramella | Corporate Director | Jan 1, 2017 | |
| Mary G. Gardiner | Corporate Director | Jan 20, 2016 | |
| Mary F Barrett | Corporate Director | Jan 1, 2021 | |
| Amy Ansehl | Corporate Director | Jan 1, 2019 | |
| Michele Geller | Corporate Director | Jan 1, 2016 | |
| Beverly a Thornhill | Corporate Director | 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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1174521678
Corporate Director
-
- Pediatric Critical Care Medicine Physician
- Valhalla, NY
- NPI 1386645125
W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 17
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1831311877
Hospice
-
- Geriatric Medicine (Internal Medicine) Physician
- Sleepy Hollow, NY
- NPI 1790101764
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.