Healthcare Provider Details

I. General information

NPI: 1477575926
Provider Name (Legal Business Name): EAST END HOSPICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

481 WESTHAMPTON-RIVERHEAD RD
WESTHAMPTON BEACH NY
11978-7048
US

IV. Provider business mailing address

PO BOX 1048
WESTHAMPTON BEACH NY
11978-7048
US

V. Phone/Fax

Practice location:
  • Phone: 631-288-8400
  • Fax: 631-288-8492
Mailing address:
  • Phone: 631-288-8400
  • Fax: 631-288-8492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number5158500F
License Number StateNY

VIII. Authorized Official

Name: MARY CROSBY
Title or Position: PRESIDENT/CEO
Credential: RN, MPH, CHPN
Phone: 631-288-8400