Provider Demographics
NPI:1528002862
Name:HOSPICE CARE IN WESTCHESTER AND PUTNAM INC
Entity Type:Organization
Organization Name:HOSPICE CARE IN WESTCHESTER AND PUTNAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT AND CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUSACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-321-6058
Mailing Address - Street 1:540 WHITE PLAINS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5156
Mailing Address - Country:US
Mailing Address - Phone:914-666-7616
Mailing Address - Fax:914-666-9514
Practice Address - Street 1:540 WHITE PLAINS RD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-666-7616
Practice Address - Fax:914-666-9514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5920501F251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01216646Medicaid
NY01216646Medicaid