Organization Active NPI

North River Hospice LLC

Doing business as Autumn Hospice

  • Community Based Hospice Care Agency
  • Norwell, MA
National Provider Identifier
1194367086
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NORTH RIVER HOSPICE LLC
Doing business as
Autumn Hospice
Practice address
454 Washington St
Norwell, MA 02061-2050
Phone
(508) 408-2408
NPI assigned
Oct 11, 2019
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Mr. David Baruch
Title
Vice President
Phone
(908) 931-9068

Specialties & licenses 1

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

Addresses

Primary practice location

454 Washington St
Norwell, MA 02061-2050

Mailing address

454 Washington St
Norwell, MA 02061-2050
Phone (781) 480-1445

Other names 1

  • Autumn Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200122001978 MA Part A Provider - Hospice 0143655068 Practice locations: Norwell, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194367086. Details of each certification follow.

Hospice certification: CCN 221610

Legal name
NORTH RIVER HOSPICE LLC
Doing business as
AUTUMN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 12, 2020
Last certification
Mar 12, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Oct 9, 2019 in MA
Enrollment address
454 Washington St
Norwell, MA 02061-2050

Care Compare: Hospice

Medicare Care Compare
Listed as
Autumn HospiceCCN 221610 · All quality measures
Ownership
For-Profit
Certified
Mar 12, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Maria B Connor Individual Contracted Managing EmployeeMD; Apr 30, 2025
Care Solutions, LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 19, 2026 100%
DLJ Credit LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 19, 2026 1.37%
David Baruch Individual Corporate OfficerVice President Mar 19, 2026
Patricia a Kelleher Individual W-2 Managing EmployeeAd; Apr 30, 2025
Care Alternatives Hospice Services, LLC Organization, Fort Lee, NJ LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 19, 2026 100%
Care One Ancillary Holdings, LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 19, 2026 28.09%
Daniel E Straus Individual 5% Or Greater Indirect Ownership Interest Mar 19, 2026 96.45%
HRP Capital, Inc Organization, Fort Lee, NJ Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 19, 2026 71.91%
North American Medical Management -New Jersey Inc Organization, Fort Lee, NJ Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 19, 2026 71.91%
Des-I 2016 Grat Organization, Fort Lee, NJ 5% Or Greater Indirect Ownership Interest Mar 19, 2026 23.34%
Health Resource Partner LLC Organization, Fort Lee, NJ LLC, For-profit 5% Or Greater Indirect Ownership Interest Mar 19, 2026 71.91%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 27

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

View all 27

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1194367086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612050",
            "telephone_number": "781-480-1445",
            "fax_number": "781-480-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 WASHINGTON ST",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020612050",
            "telephone_number": "508-408-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "BARUCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "908-931-9068",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.