NPIMap

Organization Active NPI

Karen Ann Quinlan Memorial Foundation

Doing business as Karen Ann Quinlan Hospice

  • Community Based Hospice Care Agency
  • Newton, NJ
National Provider Identifier
1285631234
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
KAREN ANN QUINLAN MEMORIAL FOUNDATION
Doing business as
Karen Ann Quinlan Hospice
Practice address
99 Sparta Ave
Newton, NJ 07860-2614
Phone
(973) 383-0115
Fax
(973) 383-6889
NPI assigned
Jul 6, 2005
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Ms. Marlina R Schetting
Title
Chief Operating Officer
Phone
(973) 383-0115

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 22656 NJ
Community Based Hospice Care Agency 251G00000X 17041601 PA
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

99 Sparta Ave
Newton, NJ 07860-2614

Mailing address

99 Sparta Ave
Newton, NJ 07860-2614
Phone (973) 383-0115

Other identifiers 1

IdentifierTypeStateIssuer
0097209MedicaidNJ

Other names 1

  • Karen Ann Quinlan Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080402000543 PA Part A Provider - Hospice 5294742490 Practice locations: Milford, PA
O20120820001056 NJ Part A Provider - Hospice 5294742490 Practice locations: Newton, NJ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1285631234. Details of each certification follow.

Hospice certification: CCN 391704

Legal name
KAREN ANN QUINLAN MEMORIAL FOUNDATION
Doing business as
KAREN ANN QUINLAN HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 10, 2008
Last certification
Apr 1, 2021
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Dec 1, 1977 in NJ
Enrollment address
200 3Rd St
Milford, PA 18337-1304

Hospice certification: CCN 311509

Legal name
KAREN ANN QUINLAN MEMORIAL FOUNDATION
Doing business as
KAREN ANN QUINLAN HOSPICE; KAREN ANN QUINLAN CENTER OF HOPE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 1, 1984
Last certification
Dec 16, 2016
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Dec 6, 1977 in NJ
Enrollment address
99 Sparta Ave
Newton, NJ 07860-2614

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Karen Ann Quinlan HospiceCCN 311509 · All quality measures
Ownership
Non-Profit
Certified
May 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file

Care Compare: Hospice

Medicare Care Compare
Listed as
Karen Ann Quinlan HospiceCCN 391704 · All quality measures
Ownership
Non-Profit
Certified
Jun 10, 2008
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
31D1054000Karen Ann Quinlan Hospice99 Sparta Avenue, Newton, NJ 07860Certificate of waiverMay 8, 2028
39D2100548Karen Ann Quinlan Hospice200 Third Street, Milford, PA 18337Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Karen Ann Quinlan Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Ken M Carter Individual Corporate DirectorBoard Member Mar 10, 2008
OtherBoard Member Dec 1, 1977
Kevin T Stroyan Individual Corporate DirectorBoard Member Mar 10, 2008
Corporate DirectorBoard Member Apr 20, 1999
Julia D Quinlan Individual Corporate OfficerCeo Sep 16, 2021
Corporate DirectorBoard Member, Chairperson Mar 10, 2008
Corporate OfficerBoard Member Sep 16, 2021
Corporate DirectorBoard Member Dec 1, 1977
Christian a Robertozzi Individual Corporate OfficerTreasurer Jun 18, 2020
Corporate DirectorBoard Member Sep 20, 2012
Corporate OfficerBoard Member Jun 18, 2020
Tammie Horsfield Individual Corporate DirectorBoard Member Jan 1, 2014
OtherBoard Member Nov 18, 2010
George Green Individual Corporate DirectorBoard Member Apr 20, 2014
Lisa O Hara Individual Corporate DirectorBoard Member Sep 18, 2014
Joseph a Cirello Individual W-2 Managing EmployeeMD; Aug 1, 2012
Lee Ellison Individual W-2 Managing EmployeeAd; Jan 31, 2026
Patricia a Sweeney-Pawlyk Individual Corporate DirectorBoard Member` Mar 10, 2008
Corporate DirectorBoard Member Apr 18, 2002
Mary Ellen E Quinlan Individual Corporate OfficerChairman of Board Apr 25, 2010
Corporate DirectorBoard Member Mar 10, 2008
Corporate OfficerBoard Member Sep 16, 2021
Corporate DirectorBoard Member Dec 1, 1977
Louis R Ruggiero Individual Corporate OfficerSecretary, Board Member Apr 25, 2010
Corporate DirectorBoard Member, Secretary Mar 10, 2008
Corporate OfficerBoard Member Apr 20, 2007
Corporate DirectorBoard Member Apr 20, 1995
Edward M Tirpack Individual Corporate DirectorBoard Member Mar 10, 2008
Corporate DirectorBoard Member Apr 20, 2001
Mary Bezak Individual W-2 Managing EmployeeAd; Nov 13, 2006
W-2 Managing EmployeeAssociate Administrator Nov 13, 2006
Elwood Hungarter Individual Corporate DirectorPresident Feb 13, 2023
W-2 Managing EmployeePresident Feb 13, 2023 100%

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1285631234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SPARTA AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602614",
            "telephone_number": "973-383-0115",
            "fax_number": "973-383-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SPARTA AVE",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602614",
            "telephone_number": "973-383-0115",
            "fax_number": "973-383-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN ANN QUINLAN MEMORIAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "SCHETTING",
        "authorized_official_first_name": "MARLINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "973-383-0115",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22656",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "PA",
            "license": "17041601",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Karen Ann Quinlan Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Karen Ann Quinlan Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.