Organization Active NPI

Little Brook Home Inc.

  • Skilled Nursing Facility
  • Califon, NJ
National Provider Identifier
1154372969
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
061003 Issued in NJ
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8411204MedicaidNJ

Other names 1

  • Little Brook Nursing and Convalescent Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 HomeCCN 315467
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3627.0 residents per day on average
Special focus status
SFF Candidate
Penalties (3 years)
3Fines totaling $355,418

Processed by Care Compare on Aug 1, 2026.

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
31D0974091Little Brook Nursing78 Sliker Road, Califon, NJ 07830Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Sandira V Segaram Individual Corporate DirectorMedical Director Dec 30, 2005
Operational/Managerial Control Dec 30, 2005
Adp of the SNF Dec 30, 2005
Lazare Group, Inc Organization, Califon, NJ Corporation, Owned by another organization or individual 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 Individual Corporate DirectorAdministrator Sep 27, 2021
Operational/Managerial Control Sep 27, 2021
Adp of the SNF Sep 27, 2021
John P Hampilos Individual 5% Or Greater Direct Ownership Interest Dec 30, 2005
Corporate OfficerPresident 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 Individual Corporate Officer Jan 1, 2018 20%
Operational/Managerial Control Nov 3, 2017
Adp of the SNF Nov 3, 2017
Bethane Properties, Inc Organization, Califon, NJ Owned by another organization or individual 5% Or Greater Mortgage Interest Feb 13, 2002 100%
Adp of the SNF Feb 13, 2002
Rosemarie Fernandez Individual Corporate OfficerChairperson Dec 30, 2005
Rosa Maria Fernandez Individual 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.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.