NPIMap

Organization Active NPI

Samaritan Healthcare & Hospice Inc

  • Community Based Hospice Care Agency
  • Mount Laurel, NJ
National Provider Identifier
1144227646
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22819 Issued in NJ
Legal business name
SAMARITAN HEALTHCARE & HOSPICE INC
Practice address
3906 Church Rd
Mount Laurel, NJ 08054-1108
Phone
(856) 596-1600
Fax
(856) 552-2224
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Robert J Curatola
Title
Cfo
Phone
(856) 382-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 22819 NJ Primary

Addresses

Primary practice location

3906 Church Rd
Mount Laurel, NJ 08054-1108

Mailing address

3906 Church Rd
Mount Laurel, NJ 08054-1108
Phone (856) 596-1600

Other practice location 1

265 Route 73
Voorhees, NJ 08043-3803
Phone (856) 596-1600

Other practice location 2

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (856) 596-1600

Other identifiers 1

IdentifierTypeStateIssuer
0097501MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000682 NJ Part A Provider - Hospice 3375584667 Practice locations: Mount Holly, NJ; Mount Laurel, NJ; Voorhees, NJ

Hospice certification: CCN 311504

Legal name
SAMARITAN HEALTHCARE & HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 29, 1983
Last certification
Sep 25, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1980 in NJ
Enrollment address
3906 Church Rd
Mount Laurel, NJ 08054-1108

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Samaritan Healthcare and HospiceCCN 311504
Ownership
Non-Profit
Certified
Dec 29, 1983
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1073504Samaritan Hospice175 Madison Avenue, Mount Holly, NJ 08060Certificate of waiverSep 10, 2027
31D2121166Samaritan Healthcare and Hospice265 Route 73 South, Voorhees, NJ 08043Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Samaritan Healthcare Hospice Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5 Eves Dr
Ste 300
Marlton, NJ 08053
Phone (856) 596-1600

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
John F Bertagnolli Individual W-2 Managing EmployeeMD; Jun 1, 2026
Phillip W Heath Individual Corporate Officer Dec 1, 2022
Gregory Button Individual Corporate Officer Dec 1, 2023
Sherri Devita Individual Corporate OfficerSenior VP Clinical Operations Dec 1, 2022
W-2 Managing EmployeeAd; Jun 1, 2026
Carmen Rallo Individual Operational/Managerial Control May 20, 2026

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

Affiliated clinicians 127

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

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1144227646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541108",
            "telephone_number": "856-596-1600",
            "fax_number": "856-552-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 CHURCH RD",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541108",
            "telephone_number": "856-596-1600",
            "fax_number": "856-552-2224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Route 73",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080433803",
            "country_code": "US",
            "telephone_number": "856-596-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602038",
            "country_code": "US",
            "telephone_number": "856-596-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAMARITAN HEALTHCARE & HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "CURATOLA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-382-6522"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.