NPIMap

Organization Active NPI

New Beacon Healthcare Group, LLC

Doing business as New Beacon of Jasper

  • Community Based Hospice Care Agency
  • Northport, AL
National Provider Identifier
1376572255
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NEW BEACON HEALTHCARE GROUP, LLC
Doing business as
New Beacon of Jasper
SouthernCare New Beacon - Jasper
Practice address
3835 Watermelon Rd Ste B&C
Northport, AL 35473-5001
Phone
(205) 469-0273
Fax
(205) 469-0276
NPI assigned
Jul 2, 2006
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Jennifer Tyler
Title
VP of Regulatory Counsel
Phone
(704) 664-2876

Specialties & licenses 1

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

Addresses

Primary practice location

3835 Watermelon Rd Ste B&C
Northport, AL 35473-5001

Mailing address

PO Box 4060
Attn: Regulatory
Mooresville, NC 28117-4060
Phone (704) 664-2876

Other practice location 1

900 Church St Ste 123
Selma, AL 36701-4550
Phone (334) 526-4414

Other practice location 2

1280 Columbiana Rd Ste 110
Vestavia Hills, AL 35216-1605
Phone (205) 868-1100

Other practice location 3

927 US Highway 80 W
Demopolis, AL 36732-4102
Phone (334) 289-9522

Other names 2

  • New Beacon of Jasper Doing business as
  • SouthernCare New Beacon - Jasper Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060907000536 AL Part A Provider - Hospice 5092719955 Practice locations: Demopolis, AL; Selma, AL; Jasper, AL; Birmingham, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376572255. Details of each certification follow.

Hospice certification: CCN 011506

Legal name
NEW BEACON HEALTHCARE GROUP, LLC
Doing business as
SOUTHERNCARE NEW BEACON OF JASPER
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 19, 1986
Last certification
Jun 17, 2016
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 30, 2006 in DE
Enrollment address
300 North Airport Road
Units 3 and 4
Jasper, AL 35504-2517

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
Southerncare New Beacon - JasperCCN 011506 · All quality measures
Ownership
For-Profit
Certified
Nov 19, 1986
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
01D2055912New Beacon Healthcare Group LLC3835 Watermelon Rd, Ste B&C, Northport, AL 35473Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
New Beacon Healthcare Group LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

300 N Airport Rd
Ste 3
Jasper, AL 35504
Phone (205) 287-9339

3835 Watermelon Rd
Ste Bc
Northport, AL 35473
Phone (205) 469-0273

900 Church St
Ste 123
Selma, AL 36701
Phone (334) 526-4414

1280 Columbiana Rd
Ste 110
Vestavia Hills, AL 35216
Phone (205) 868-1100

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Jordan Marie Fanelli Individual W-2 Managing EmployeeAdministrator Feb 23, 2023
CH Services Midco Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
Kentucky Homecare Parent Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Ronald C Lazas Individual Corporate OfficerGeneral Counsel/Corporate Secretary Apr 27, 2021
Curo Health Services Holdings, Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Nov 9, 2011 100%
David Robinson Arnold Individual Corporate OfficerVP and Controller Dec 31, 2021
W-2 Managing EmployeeHome Office Administrator Dec 31, 2021
Thomas Joseph Dolan Individual Corporate OfficerChief Financial Officer Nov 30, 2021
Charlotte Midco, LLC Organization, Atlanta, GA LLC, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
Kentucky Homecare Holdings, Inc. Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Humana Inc Organization, Louisville, KY Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Falcon Hospice, LP Organization, Atlanta, GA For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 100%
David Allen Causby Individual Corporate OfficerChief Executive Officer / President Apr 27, 2021
Regency Healthcare Holdings LLC Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jun 6, 2014 100%
Charlotte Buyer, Inc. Organization, Fort Worth, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Jul 11, 2018 100%
Curo Health Services LLC Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2012 100%
Janet L Combs Individual Corporate OfficerVice President of Licensure Nov 1, 2021
CD&R Falcon Holdings, LP Organization, New York, NY For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 60%
Centerwell Health Services Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 11, 2022 40%
Kah Hospice Company, Inc Organization, Atlanta, GA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2022 100%
Regency Healthcare Group LLC Organization, Mooresville, NC Corporation, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2006 100%
Operational/Managerial Control Jul 1, 2006 100%
CH Services Group Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%
CH Services Holdings Inc Organization, Mooresville, NC For-profit 5% Or Greater Indirect Ownership Interest Feb 5, 2015 100%

Owners & managing parties with NPI records 18

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

View all 18

Facilities with the same owner 195

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

View all 195

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1376572255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4060",
            "address_2": "ATTN: REGULATORY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281174060",
            "telephone_number": "704-664-2876",
            "fax_number": "704-230-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 WATERMELON RD STE B&C",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735001",
            "telephone_number": "205-469-0273",
            "fax_number": "205-469-0276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Church St Ste 123",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367014550",
            "country_code": "US",
            "telephone_number": "334-526-4414",
            "fax_number": "844-793-9403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1280 Columbiana Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352161605",
            "country_code": "US",
            "telephone_number": "205-868-1100",
            "fax_number": "205-868-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "927 US Highway 80 W",
            "address_purpose": "LOCATION",
            "city": "Demopolis",
            "state": "AL",
            "postal_code": "367324102",
            "country_code": "US",
            "telephone_number": "334-289-9522",
            "fax_number": "334-289-1358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW BEACON HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF REGULATORY COUNSEL",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beacon of Jasper",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SouthernCare New Beacon - Jasper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northport, AL

Sources for this page

Verify at the official NPI Registry.