Faith Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAITH HOSPICE CARE LLC

Doing business as

Faith Hospice Care

Practice address

383 US Highway 46 Ste 302
Fairfield, NJ 07004-2473

Phone

(973) 244-2480

Fax

(973) 629-1654

NPI assigned

Sep 26, 2023

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Geetakumari B Fofandi

Title

Ceo

Phone

(973) 244-2480

Specialties & licenses 1

Addresses

Other names 1

• Faith Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003695370. Details of each certification follow.

• CCN 311598 Hospice · Active · Details

Hospice certification: CCN 311598

Legal name

FAITH HOSPICE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 21, 2024

Last certification

Oct 4, 2024

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Sep 29, 2023 in NJ

Enrollment address

383 US Highway 46
Ste 302
Fairfield, NJ 07004-2473

Listed as

Faith Hospice Care LLCCCN 311598 · All quality measures

Certified

Oct 21, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Faith Home Healthcare LLC

  • Home Health Agency
  • Fairfield, NJ
  • NPI 1558873067

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Faith Home Healthcare LLC

  • Home Health Agency
  • Fairfield, NJ
  • NPI 1558873067

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Tasha Lee Godbolt

  • Adult Medicine Physician
  • Roselle Park, NJ
  • NPI 1457034951

  W-2 Managing Employee

  CMS ownership
• Sanjay R Shah, MD. MBBS

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1568624302

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Toufiq Imtiaz, MD

  • Internal Medicine Physician
  • Denville, NJ
  • NPI 1366190753

  Hospice

  Care Compare affiliation
• Abraham Reuven Lehman

  • Anesthesiology Physician
  • Saddle Brook, NJ
  • NPI 1477797132

  Hospice

  Care Compare affiliation
• Kumar Bharatbhai Patel, MD

  • Family Medicine Physician
  • Bloomfield, NJ
  • NPI 1952898140

  Hospice

  Care Compare affiliation
• Melchiorre Joseph Russo, MD

  • Legal Medicine
  • Clifton, NJ
  • NPI 1245291277

  Hospice

  Care Compare affiliation
• Sanjay R Shah, MD. MBBS

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1568624302

  Hospice

  Care Compare affiliation
• Ishak G Soliman, M.D.

  • Family Medicine Physician
  • Passaic, NJ
  • NPI 1578505509

  Hospice

  Care Compare affiliation
• Shiraz Cede Yussaf, M.D

  • Family Medicine Physician
  • Hoboken, NJ
  • NPI 1134448251

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1003695370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 US HIGHWAY 46 STE 302",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042473",
            "telephone_number": "973-244-2480",
            "fax_number": "973-629-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 US HIGHWAY 46 STE 302",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042473",
            "telephone_number": "973-244-2480",
            "fax_number": "973-629-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "FOFANDI",
        "authorized_official_first_name": "GEETAKUMARI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-244-2480"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faith Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fairfield Vol Fire Co No1 (Fairton Fire Co)
• Fairfield Wellness and Physical Therapy, LLC
• Faith Home Healthcare LLC
• Faith Home Healthcare LLC
• Faith Home Healthcare LLC
• Thomas Fedak, PHARMD
• Fedcap Rehabilitation Services, Inc.
• Marjorie M Feldman, LCSW
• Alexis Ferguson, PSY.D.
• Gabriella Ferrovecchio, OTD

• Community Based Hospice Care Agency in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.