NPIMap

Organization Active NPI

Ahs Hospital Corp.

Doing business as Atlantic Home Care & Hospice

  • Community Based Hospice Care Agency
  • Morristown, NJ
National Provider Identifier
1144324765
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22658 Issued in NJ
Legal business name
AHS HOSPITAL CORP.
Doing business as
Atlantic Home Care & Hospice
Atlantic Visiting Nurse
Practice address
465 South St
Morristown, NJ 07960-6442
Phone
(973) 379-8400
Fax
(973) 379-8498
NPI assigned
Sep 12, 2006
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Joseph Michael Walter
Title
SVP, Chief Financial Officer
Phone
(610) 331-9446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 22658 NJ Primary

Addresses

Primary practice location

465 South St
Morristown, NJ 07960-6442

Mailing address

465 South St
Morristown, NJ 07960-6442
Phone (973) 379-8400

Other identifiers 1

IdentifierTypeStateIssuer
5132801MedicaidNJ

Other names 2

  • Atlantic Home Care & Hospice Doing business as
  • Atlantic Visiting Nurse Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000243 NJ Part A Provider - Hospice 0648189134 Practice locations: Morristown, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144324765. Details of each certification follow.

Hospice certification: CCN 311503

Legal name
AHS HOSPITAL CORP
Doing business as
ATLANTIC VISITING NURSE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 3, 1984
Last certification
Feb 25, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
May 1, 1996 in NJ
Enrollment address
465 South St
Ste 100
Morristown, NJ 07960-6447

Other NPIs with the same Medicare PAC ID 12

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Atlantic Visiting NurseCCN 311503 · All quality measures
Ownership
Non-Profit
Certified
Feb 3, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Ahs Hospital Corp33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

465 South St
Morristown, NJ 07960
Phone (973) 379-8400

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Mary Ellen Diana Individual W-2 Managing EmployeeAd; Aug 2, 2021 100%
Mary Pradilla Individual Corporate DirectorExecutive Director Jun 30, 2011 100%
John a Conti Individual Contracted Managing EmployeeMD; Mar 1, 2005 100%
Joseph Michael Walter Individual Corporate OfficerChief Financial Officer Sep 1, 2022 100%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morristown Medical CenterMorristown, NJ, CCN 310015 Hospital Operational/Managerial Control Nov 2, 2007
Atlantic Rehabilitation Institute, LLCMadison, NJ, CCN 313038 Hospital 5% Or Greater Direct Ownership Interest (55%) Dec 13, 2016
Morristown Medical CenterMorristown, NJ, CCN 31S015 Hospital Operational/Managerial Control Jul 14, 2008

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 143

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

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1144324765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606442",
            "telephone_number": "973-379-8400",
            "fax_number": "973-379-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606442",
            "telephone_number": "973-379-8400",
            "fax_number": "973-379-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS HOSPITAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SVP, CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-331-9446"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5132801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic Visiting Nurse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.