NPIMap

Organization Active NPI

Eoh Acquisition Group, LLC

Doing business as CareWell Health Medical Center

  • General Acute Care Hospital
  • East Orange, NJ
National Provider Identifier
1013386143
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10704 Issued in NJ
Legal business name
EOH ACQUISITION GROUP, LLC
Doing business as
CareWell Health Medical Center
Practice address
300 Central Ave
East Orange, NJ 07018-2819
Phone
(973) 672-8400
NPI assigned
Sep 18, 2015
Last updated
Mar 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Rafael Ramos
Title
Vice President, Revenue Cycle
Phone
(973) 414-3448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10704 NJ Primary

Addresses

Primary practice location

300 Central Ave
East Orange, NJ 07018-2819

Mailing address

300 Central Avenue
East Orange, NJ 07018-2819
Phone (973) 414-3473

Other identifiers 1

IdentifierTypeStateIssuer
0845094MedicaidNJ

Other names 1

  • CareWell Health Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316003049 NJ Part A Provider - Hospital 4082009717 Practice locations: East Orange, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013386143. Details of each certification follow.

Hospital certification: CCN 310083

Legal name
EOH ACQUISITION GROUP, LLC
Doing business as
CAREWELL HEALTH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 7, 2024
Beds
211
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2016 (1 total)
Organization structure
LLCProprietary
Incorporated
Aug 3, 2020 in DE
Enrollment address
300 Central Avenue
East Orange, NJ 70182819
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Carewell Health Medical CenterCCN 310083 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Eoh Acquisition Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Troy a Schell Individual 5% Or Greater Direct Ownership Interest3 Aug 3, 2020
Corporate OfficerCorporate Secretary Aug 3, 2021
Restorix Health Inc Organization, White Plains, NY Corporation, Management services company Operational/Managerial Control Jan 1, 2022
James P Bunnell Individual W-2 Managing EmployeeCfo Oct 1, 2025 25%
Leslie Prizant Individual W-2 Managing EmployeeChief Legal Officer Oct 31, 2024
Bilal a Mannan Individual W-2 Managing EmployeeAd; May 18, 2026
Benjamin Klein Individual 5% Or Greater Direct Ownership Interest Aug 3, 2020 77%
Corporate DirectorPresident Aug 3, 2020 77%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 107

Affiliated clinicians 119

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

View all 119

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1013386143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVENUE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-414-3473",
            "fax_number": "973-266-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTRAL AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182819",
            "telephone_number": "973-672-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EOH ACQUISITION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "973-414-3448"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0845094",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareWell Health Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.