Provider Demographics
NPI:1538166319
Name:UNITED HOSPICE INC.
Entity type:Organization
Organization Name:UNITED HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-634-4974
Mailing Address - Street 1:11 STOKUM LN
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-3505
Mailing Address - Country:US
Mailing Address - Phone:845-634-4974
Mailing Address - Fax:845-634-7549
Practice Address - Street 1:11 STOKUM LN
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-3505
Practice Address - Country:US
Practice Address - Phone:845-634-4974
Practice Address - Fax:845-634-7549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4353500F251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01051101Medicaid
NY01051101Medicaid