Vna Health Group of New Jersey, LLC
Organization Active NPI Community Based Hospice Care Agency · West Orange, NJ
NPI 1174520076 · NPPES record last updated Dec 8, 2023
Key facts
- NPI
- 1174520076
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 22714 (NJ)
- Legal business name
- VNA HEALTH GROUP OF NEW JERSEY, LLC
- Practice address
- 80 Main Street - Suite 300
West Orange, NJ 07052-4850 - Phone
- (973) 243-9666
- Fax
- (732) 784-9901
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Peter Gaylord
- Title
- Chief Financial Officer
- Phone
- (800) 862-3330
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 3
Facilities with the same owner 6
Affiliated clinicians 67
-
Mounir Y Abdelshahid, M.D.
-
Kate Aberger, MD
-
Muthu Arunachalam, M.D.,
-
Emily S Bahler, DO
-
Pranay J Bhatt, M.D.
-
Kledia Blloshmi, MD
-
Caren A Chapinski, D.O.
-
Robert P. Chen, MD
-
Carl Costanza, M.D.
-
Luis Alberto Espina, M.D.
-
Rekha M Gohel, M.D.
-
Shira Goldberg, MD
-
Abel Ernesto Gonzalez, M.D.
-
Indu Gopal, MD
-
Nicholas Stephen Guittari, M. D.
-
Tong Karen Hao, MD
-
Emad Jacob, MD
-
Punit Rajnikant Jariwala, M.D.
-
Meghan Kaumaya, MD
Medicare Care Compare: Hospice
- Listed as
- Barnabas Health Home Care and Hospice
- Ownership
- Other
- Certified
- Mar 7, 1984
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Hospice certification: CCN 311507
- Legal name
- VNA HEALTH GROUP OF NEW JERSEY LLC
- Doing business as
- BARNABAS HEALTH HOMECARE & HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 7, 1984
- Last certification
- Jun 12, 2019
- Ownership / control type
- Non-Profit - Other
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 23, 2015 in NJ
- Enrollment address
- 80 Main St
Ste 300
West Orange, NJ 07052-5439
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew Fulton |
Corporate Director |
Jan 1, 2016 | |
| Christopher Rinn |
Corporate Director |
Jul 21, 2023 | |
| Mega Care Inc. |
Operational/Managerial Control | Jan 1, 2016 | 51% |
| Thomas Biga |
Corporate Director |
Jan 1, 2016 | |
| Peter Gaylord |
Corporate Director |
Jan 1, 2016 | |
| Operational/Managerial Control |
Jan 1, 2016 | ||
| Visiting Nurse Association Health Group Inc |
Operational/Managerial Control | Jan 1, 2016 | 49% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151013001324 | NJ | Part a Provider - Hospice | 6901115021 | Practice locations: Holmdel, NJ; West Orange, NJ |
National Provider Directory
- Tax ID family
- Community Medical Center Inc
Locations
204 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 267-7417
1433 Hooper Ave
Toms River, NJ 08753
Phone (732) 557-2055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 22714,24416,22634 | NJ | |
| Community Based Hospice Care Agency | 251G00000X | 22714 | NJ | Yes |
| Community Based Hospice Care Agency | 251G00000X | 24416 | NJ | |
| Community Based Hospice Care Agency | 251G00000X | 22634 | NJ |
Addresses
Primary practice location
80 Main Street - Suite 300
West Orange, NJ 07052-4850
Mailing address
23 Main Street
Suite D1
Holmdel, NJ 07733-2136
Phone (732) 224-6914
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0557153 | Medicaid | NJ | |
| 0L0684 | Other | HEALTH NET | |
| 13615 | Other | UNIVERSITY HEALTH PLAN | |
| 22634 | Other | NJ | HOSPICE LICENSES |
| 8426225 | Other | AETNA/USHC | |
| F07459 | Other | CCS | |
| 1014126 | Other | HORIZON/NJ HEALTH | |
| 22714 | Other | NJ | HOSPICE LICENSES |
| ANC709 | Other | OXFORD HEALTH | |
| 004218 | Other | AMERIHEALTH | |
| 0042545 | Other | AETNA/USHC | |
| 24416 | Other | NJ | HOSPICE LICENSES |
| 88760 | Other | AMERIGROUP |
Other names
- Barnabas Health Home Care and Hospice
Other providers in West Orange, NJ
- Haley Vinick
- Eduardo Jose Viquez Mora
- Merry Jessica Virgile
- Vital Health Services
- Vitaly Fishbein MD LLC
- Vna Health Group of New Jersey, LLC
- Loren Vocaturo
- Claudia C. Volpe
- Shefali Vyas
- Jessica F Wachtel
All providers in West Orange, NJ · Community Based Hospice Care Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.