Provider Demographics
NPI:1215928510
Name:VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE
Entity type:Organization
Organization Name:VISITING NURSE SERVICE OF NEW YORK HOSPICE CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT AND CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTELLANOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-609-1587
Mailing Address - Street 1:220 EAST 42ND STREET
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5831
Mailing Address - Country:US
Mailing Address - Phone:212-290-6425
Mailing Address - Fax:
Practice Address - Street 1:220 EAST 42ND STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5831
Practice Address - Country:US
Practice Address - Phone:212-290-6425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01049476Medicaid
NY331519Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER