Active NPI
Little Brook Home Inc.
- Skilled Nursing Facility
- Califon, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 061003
- Legal business name
- LITTLE BROOK HOME INC.
- Practice address
- 78 Sliker Rd
Califon, NJ 07830-4178 - Phone
- (908) 832-2220
- Fax
- (908) 832-6626
- NPI assigned
- May 15, 2006
- Organization subpart
- Yes
- Parent organization
- LAZARE GROUP INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Hampilos, PHD
- Title
- Owner
- Phone
- (908) 832-5265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 061003 | NJ | Primary |
Addresses
Primary practice location
78 Sliker Rd
Califon, NJ 07830-4178
Mailing address
PO Box 398
Califon, NJ 07830-0398
Phone (908) 832-5265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8411204 | Medicaid | NJ |
Other names 1
- Little Brook Nursing and Convalescent Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060524000168 | NJ | Part A Provider - Skilled Nursing Facility | 3678584083 | Practice locations: Califon, NJ |
Skilled nursing facility certification: CCN 315467
- Legal name
- LITTLE BROOK HOME, INC
- Doing business as
- LITTLE BROOK NURSING AND CONVALESCENT HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 2001
- Last certification
- Oct 30, 2024
- Beds
- 36
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 9, 2005 in NJ
- Enrollment address
- 78 Sliker Rd
Califon, NJ 07830-4178 - Nursing home name
- LITTLE BROOK NURSING AND CONVALESCENT HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Little Brook Nursing and Convalescent Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 1, 2001
- Medicare certification status
- Active
- Certified beds
- 36
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 3
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0974091 | Little Brook Nursing | Certificate of waiver | May 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
78 Sliker Rd
#398
Califon, NJ 07830
Phone (908) 832-2220
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Sandira V Segaram | Corporate Director | Dec 30, 2005 | |
| Operational/Managerial Control | Dec 30, 2005 | ||
| Adp of the SNF | Dec 30, 2005 | ||
| Lazare Group, Inc | 5% Or Greater Indirect Ownership Interest | Feb 13, 2002 | 100% |
| Operational/Managerial Control | Feb 13, 2002 | ||
| Adp of the SNF | Feb 13, 2002 | ||
| Cynthia Bradford | Corporate Director | Sep 27, 2021 | |
| Operational/Managerial Control | Sep 27, 2021 | ||
| Adp of the SNF | Sep 27, 2021 | ||
| John P Hampilos | 5% Or Greater Direct Ownership Interest | Dec 30, 2005 | |
| Corporate Officer | Dec 30, 2005 | ||
| Operational/Managerial Control | Nov 9, 2005 | ||
| Trustee of the SNF | Nov 9, 2005 | ||
| Adp of the SNF | Nov 9, 2005 | ||
| Elizabeth J Caissie | Corporate Officer | Jan 1, 2018 | 20% |
| Operational/Managerial Control | Nov 3, 2017 | ||
| Adp of the SNF | Nov 3, 2017 | ||
| Bethane Properties, Inc | 5% Or Greater Mortgage Interest | Feb 13, 2002 | 100% |
| Adp of the SNF | Feb 13, 2002 | ||
| Rosemarie Fernandez | Corporate Officer | Dec 30, 2005 | |
| Rosa Maria Fernandez | 5% Or Greater Direct Ownership Interest | Nov 9, 2005 | 51% |
| Trustee of the SNF | Nov 9, 2005 | ||
| Adp of the SNF | Nov 9, 2005 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Hackettstown, NJ
- NPI 1508813346
Adp of the SNF, Corporate Director, Operational/Managerial Control
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1366402240
Corporate Officer
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Hackettstown, NJ
- NPI 1508813346
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752192000000",
"number": "1154372969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "CALIFON",
"state": "NJ",
"postal_code": "078300398",
"telephone_number": "908-832-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 SLIKER RD",
"city": "CALIFON",
"state": "NJ",
"postal_code": "078304178",
"telephone_number": "908-832-2220",
"fax_number": "908-832-6626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE BROOK HOME INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAZARE GROUP INC.",
"enumeration_date": "2006-05-15",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "HAMPILOS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-832-5265",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NJ",
"license": "061003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8411204",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Little Brook Nursing and Convalescent Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Califon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.