NPIMap

Organization Active NPI

Homeside Hospice, LLC

  • Community Based Hospice Care Agency
  • Cranford, NJ
National Provider Identifier
1194787366
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
23391 Issued in NJ
Legal business name
HOMESIDE HOSPICE, LLC
Practice address
6 Commerce Dr Ste 206
Cranford, NJ 07016-3515
Phone
(732) 381-3444
Fax
(732) 381-3445
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Mrs. Kristin Barnable, RN, BSN
Title
Managing Partner/Administrator
Phone
(732) 381-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 23391 NJ Primary

Addresses

Primary practice location

6 Commerce Dr Ste 206
Cranford, NJ 07016-3515

Mailing address

6 Commerce Dr Ste 206
Cranford, NJ 07016-3515
Phone (732) 381-3444

Other identifiers 2

IdentifierTypeStateIssuer
0086436MedicaidNJ
23391OtherNJDEPT OF HEALTH LICENSE #

Other names 1

  • Homeside Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050225000058 NJ Part A Provider - Hospice 9335192707 Practice locations: Clark, NJ

Hospice certification: CCN 311559

Legal name
HOMESIDE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 22, 2005
Last certification
Jan 17, 2020
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Feb 7, 2005 in NJ
Enrollment address
67 Walnut Ave
Ste 205
Clark, NJ 07066-1640

Care Compare: Hospice

Medicare Care Compare
Listed as
Homeside Hospice LLCCCN 311559
Ownership
Other
Certified
Sep 22, 2005
Medicare certification status
ActiveFrom the Provider of Services file

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
31D1039179Homeside Hospice6 Commerce Drive, Cranford, NJ 07016Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

67 Walnut Ave
Ste 205
Clark, NJ 07066
Phone (732) 381-3444

6 Commerce Dr
Ste 206
Cranford, NJ 07016
Phone (732) 381-3444

618 Somerset St
North Plainfield, NJ 07060
Phone (908) 756-9996

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Kristin Barnable Individual 5% Or Greater Indirect Ownership Interest Feb 7, 2005 50%
Corporate OfficerAdministrator/Owner Feb 7, 2005 50%
Corporate DirectorAdministrator/Owner Feb 7, 2005 50%
W-2 Managing EmployeeAdministrator/Owner Feb 7, 2005 50%
Journey Investments LLC Organization, Clark, NJ Corporation 5% Or Greater Direct Ownership Interest Feb 7, 2005 100%
Operational/Managerial Control Feb 7, 2005
Amarjit K Saini Individual Contracted Managing EmployeeMedical Director May 23, 2005
Theresa Watson Individual 5% Or Greater Indirect Ownership Interest Feb 7, 2005 50%
Corporate OfficerPrivacy Officer/Owner Feb 7, 2005 50%
Corporate DirectorPrivacy Officer/Owner Feb 7, 2005 50%
W-2 Managing EmployeePrivacy Officer/Owner Feb 7, 2005 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1194787366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COMMERCE DR STE 206",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163515",
            "telephone_number": "732-381-3444",
            "fax_number": "732-381-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COMMERCE DR STE 206",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163515",
            "telephone_number": "732-381-3444",
            "fax_number": "732-381-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESIDE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "BARNABLE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MANAGING PARTNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "732-381-3444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "23391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086436",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH LICENSE #",
            "identifier": "23391",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homeside Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.