Provider Demographics
NPI:1508866286
Name:HUDSON VALLEY HOSPICE INC.
Entity Type:Organization
Organization Name:HUDSON VALLEY HOSPICE INC.
Other - Org Name:HUDSON VALLEY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MULVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-473-2273
Mailing Address - Street 1:374 VIOLET AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1034
Mailing Address - Country:US
Mailing Address - Phone:845-473-2273
Mailing Address - Fax:845-790-0009
Practice Address - Street 1:374 VIOLET AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-473-2273
Practice Address - Fax:845-790-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1302500F251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01049669Medicaid
NY01049669Medicaid