- Enrollment id
- O20040305001055
- Enrollment state
- NY
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1831277227
- Multiple npi flag
- N
- Ccn
- 331520
- Associate id
- 2163316746
- Organization name
- HOSPICE-VNSW WPHC INC
- Doing business as name
- HOSPICE OF WESTCHESTER
- Incorporation date
- 1991-11-20
- Incorporation state
- NY
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1025 WESTCHESTER AVE
- Address line 2
- STE 200
- City
- WHITE PLAINS
- State
- NY
- Zip code
- 106043508