NPIMap

Organization Active NPI

Vna at HCS, Inc

Doing business as Hospice at HCS

  • Community Based Hospice Care Agency
  • Keene, NH
National Provider Identifier
1922176304
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
02915 Issued in NH
Legal business name
VNA AT HCS, INC
Doing business as
Hospice at HCS
Practice address
312 Marlboro St
Keene, NH 03431-4163
Phone
(603) 352-2253
Fax
(603) 358-3904
NPI assigned
Dec 1, 2006
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Mr. Dawn Michelizzi
Title
Cfo
Phone
(603) 352-2253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 02915 NH Primary

Addresses

Primary practice location

312 Marlboro St
Keene, NH 03431-4163

Mailing address

PO Box 564
312 Marlboro St
Keene, NH 03431
Phone (603) 352-2253

Other names 1

  • Hospice at HCS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000059 NH Part A Provider - Hospice 3173597754 Practice locations: Keene, NH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922176304. Details of each certification follow.

Hospice certification: CCN 301503

Legal name
VNA AT HCS, INC
Doing business as
HOME HEALTHCARE HOSPICE AND COMMUNITY SERVICES INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 23, 1990
Last certification
Jan 13, 2022
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Apr 16, 1996 in NH
Enrollment address
312 Marlboro St
Keene, NH 03431-4163

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Vna at HCSCCN 301503 · All quality measures
Ownership
Non-Profit
Certified
Oct 23, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Home Healthcare Hospice Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Jessica Mack Individual Corporate DirectorDirector of Operations/Compliance Feb 15, 2015
W-2 Managing Employee Dec 8, 1997
Michael Chelstowski Individual Corporate DirectorBoard Member Dec 1, 2014
Ann Heffernon Individual Corporate DirectorBoard Member Dec 1, 2020
David Therrien Individual Corporate DirectorVice Chairperson Oct 1, 2014
Susan Ashworth Individual Corporate DirectorDirector of Community Relations Jun 6, 1977
Virginia Jordan Individual Corporate DirectorBoard Member Nov 2, 2020
Lisa a Leinau Individual Contracted Managing EmployeeMD; Jun 13, 2013
David Stinson Individual Corporate DirectorBoard Member Nov 20, 2019
Eric J Horne Individual Corporate DirectorTreasurer Dec 1, 2017
Julie Tewksbury Individual Corporate DirectorBoard Member Dec 1, 2021
Julie E Greenwood Individual Corporate DirectorChairperson of Board Oct 1, 2017
Laura Brow Individual Corporate DirectorDirector of Clinical Operations Jul 23, 2007
Allen Mendelson Individual Corporate DirectorBoard Member Oct 1, 2013
Julie F Green Individual Corporate DirectorSecretary of Board Dec 1, 2017
Mary Ann C Davis Individual Corporate DirectorBoard Member Dec 1, 2018
Gaylemarie a Murphy Individual Corporate DirectorVie President of Human Resources Oct 22, 2021
Maura McQueeney Individual Corporate OfficerChief Executive Officer Dec 3, 2019 100%
W-2 Managing EmployeeAd; Dec 3, 2019
Sarren Sarna Individual Corporate DirectorDirector of Philanthropy and Growth Oct 7, 2019
Pamela a Streletsky Individual Corporate DirectorDirector of Financial Operations Apr 24, 2024

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

Affiliated clinicians 12

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1922176304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "address_2": "312 MARLBORO ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-352-2253",
            "fax_number": "603-352-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARLBORO ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314163",
            "telephone_number": "603-352-2253",
            "fax_number": "603-358-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA AT HCS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "MICHELIZZI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "603-352-2253",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NH",
            "license": "02915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice at HCS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hospice at HCS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.