NPIMap

Organization Active NPI

Vna Health Group of New Jersey, LLC

Doing business as Barnabas Health Home Care and Hospice

  • Community Based Hospice Care Agency
  • West Orange, NJ
National Provider Identifier
1174520076
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22714 Issued in NJ
Legal business name
VNA HEALTH GROUP OF NEW JERSEY, LLC
Doing business as
Barnabas Health Home Care and Hospice
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
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Mr. Peter Gaylord
Title
Chief Financial Officer
Phone
(800) 862-3330

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 22714,24416,22634 NJ
Community Based Hospice Care Agency 251G00000X 22714 NJ Primary
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 names 1

  • Barnabas Health Home Care and Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151013001324 NJ Part A Provider - Hospice 6901115021 Practice locations: Holmdel, NJ; West Orange, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174520076. Details of each certification follow.

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
LLCProprietary
Incorporated
Feb 23, 2015 in NJ
Enrollment address
80 Main St
Ste 300
West Orange, NJ 07052-5439

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Barnabas Health Home Care and HospiceCCN 311507 · All quality measures
Ownership
Other
Certified
Mar 7, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

204 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 267-7417

1433 Hooper Ave
Toms River, NJ 08753
Phone (732) 557-2055

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Matthew Fulton Individual Corporate DirectorBoard Member Jan 1, 2016
Christopher Rinn Individual Corporate DirectorPresident & Ceo Jul 21, 2023
Mega Care Inc. Organization, West Orange, NJ Non-profit Operational/Managerial Control Jan 1, 2016 51%
Thomas Biga Individual Corporate DirectorChairman Jan 1, 2016
Peter Gaylord Individual Corporate DirectorTreasurer Jan 1, 2016
Operational/Managerial ControlTreasurer Jan 1, 2016
Visiting Nurse Association Health Group Inc Organization, Holmdel, NJ Non-profit Operational/Managerial Control Jan 1, 2016 49%

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 67

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

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1174520076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAIN STREET",
            "address_2": "SUITE D1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332136",
            "telephone_number": "732-224-6914",
            "fax_number": "732-784-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MAIN STREET - SUITE 300",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524850",
            "telephone_number": "973-243-9666",
            "fax_number": "732-784-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA HEALTH GROUP OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "800-862-3330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22714,24416,22634",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22714",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "24416",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barnabas Health Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.