NPIMap

Organization Active NPI

Holy Redeemer Hospice Inc.

  • Community Based Hospice Care Agency
  • Runnemede, NJ
National Provider Identifier
1376517011
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22794 Issued in NJ
Legal business name
HOLY REDEEMER HOSPICE INC.
Practice address
160 E 9TH Ave
Runnemede, NJ 08078-1170
Phone
(800) 255-8986
Fax
(856) 939-4040
NPI assigned
Feb 16, 2006
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLY REDEEMER HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Mr. George W Hamilton
Title
VP Finance
Phone
(215) 698-3726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 22794 NJ Primary

Addresses

Primary practice location

160 E 9TH Ave
Runnemede, NJ 08078-1170

Mailing address

160 E 9TH Ave Ste B
Runnemede, NJ 08078-1168
Phone (856) 939-9000

Other names 1

  • Trinity Hospice Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000254 NJ Part A Provider - Hospice 4486617180 Practice locations: Runnemede, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376517011. Details of each certification follow.

Hospice certification: CCN 311513

Legal name
HOLY REDEEMER HOSPICE INC.
Doing business as
HOLY REDEEMER HOSPICE - NJ, SOUTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 21, 1985
Last certification
Oct 15, 2020
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Apr 28, 1992 in NJ
Enrollment address
160 E 9TH Ave
Runnemede, NJ 08078-1170

Care Compare: Hospice

Medicare Care Compare
Listed as
Holy Redeemer Hospice-NJ, SouthCCN 311513 · All quality measures
Ownership
Non-Profit
Certified
Jan 21, 1985
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Holy Redeemer Health System

Locations

170 Morris Ave
Ste C
Long Branch, NJ 07740
Phone (732) 229-8486

150 E 9th Ave
Runnemede, NJ 08078
Phone (856) 939-9000

160 E 9th Ave
Runnemede, NJ 08078
Phone (800) 255-8986

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Michael B Laign Individual Corporate OfficerPresident/Ceo Oct 1, 2004
Corporate DirectorBoard Member Oct 1, 2004
W-2 Managing EmployeePresident/Ceo Oct 1, 2004
Operational/Managerial ControlPresident/Ceo Oct 1, 2004
Donald F Friel Individual Corporate OfficerAssistant Treasurer Jan 1, 2022
Corporate DirectorBoard Member Jan 1, 2018
W-2 Managing EmployeeExecutive Vice President Oct 19, 1992
Cristina Peoples Individual Corporate OfficerSecretary Jul 1, 2021
W-2 Managing EmployeeSecretary Jul 1, 2021
Alan Rosenberg Individual Corporate OfficerExecutive Vice President Jan 1, 2022
Corporate DirectorBoard Member Jan 1, 2022
Holy Redeemer Health System Organization, Huntingdon Valley, PA Corporation, Non-profit Operational/Managerial Control Jul 5, 2021 100%
Eileen T Smith Individual Corporate OfficerAssistant Secretary Sep 28, 2015
George W Hamilton Individual Corporate OfficerTreasurer Jan 1, 2022
Michael Keen Individual Corporate OfficerAssistant Treasurer Mar 1, 2020
W-2 Managing EmployeeCfo Mar 1, 2020
Michele L Urofsky Individual Corporate DirectorBoard Member/Chair Jan 1, 2012

Owners & managing parties with NPI records 8

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

Facilities with the same owner 3

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1376517011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 9TH AVE STE B",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781168",
            "telephone_number": "856-939-9000",
            "fax_number": "856-939-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 9TH AVE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781170",
            "telephone_number": "800-255-8986",
            "fax_number": "856-939-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY REDEEMER HOSPICE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLY REDEEMER HEALTH SYSTEM",
        "enumeration_date": "2006-02-16",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "215-698-3726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Hospice",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Trinity Hospice",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Runnemede, NJ

Sources for this page

Verify at the official NPI Registry.