NPIMap

Organization Active NPI

Hospice of New Jersey LLC

  • Community Based Hospice Care Agency
  • Bloomfield, NJ
National Provider Identifier
1407208028
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF NEW JERSEY LLC
Practice address
400 Broadacres Dr Ste 1
Bloomfield, NJ 07003-3156
Phone
(973) 893-0818
Fax
(973) 593-0828
NPI assigned
Jul 7, 2016
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Chelsea Ekenseair
Title
Sr MGR Legal & Regulatory Affairs
Phone
(857) 331-6275

Specialties & licenses 1

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

Addresses

Primary practice location

400 Broadacres Dr Ste 1
Bloomfield, NJ 07003-3156

Mailing address

500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711

Other identifiers 1

IdentifierTypeStateIssuer
22741OtherNJLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108000231 NJ Part A Provider - Hospice 9537142864 Practice locations: Bloomfield, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407208028. Details of each certification follow.

Hospice certification: CCN 311540

Legal name
HOSPICE OF NEW JERSEY LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 25, 1995
Last certification
Apr 26, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Apr 18, 2016 in OK
Enrollment address
400 Broadacres Drive
1St Floor
Bloomfield, NJ 07003-3156

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of New Jersey, LLCCCN 311540 · All quality measures
Ownership
For-Profit
Certified
Apr 25, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Locations

400 Broadacres Dr
Ste 1
Bloomfield, NJ 07003
Phone (739) 893-0818

226 Haddonfield Rd
Fl Second
Cherry Hill, NJ 08002
Phone (856) 488-2101

51 Haddonfield Rd
Ste 155
Cherry Hill, NJ 08002
Phone (856) 488-2101

2200 Route 10
Ste 205
Parsippany, NJ 07054
Phone (973) 893-0818

40 Bey Lea Rd
Ste A202
Toms River, NJ 08753
Phone (732) 367-1535

220 Hamburg Tpke
Ste 24
Wayne, NJ 07470
Phone (973) 321-3823

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Robert Wolf Individual Corporate OfficerChief Financial Officer Jun 1, 2020
Care Hospice, Inc. Organization, Charlottesville, VA Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2020 100%
Care Hospice Holdings, LLC Organization, Palo Alto, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 100%
Capricorn Healthcare & Special Opportunities II, LP Organization, Palo Alto, CA Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 56.93%
Care Hospice Acquisition, Inc. Organization, Palo Alto, CA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 100%
Owen Davis Individual Corporate DirectorDirector Jun 1, 2020
Leavitt Equity Partners I, L.P. Organization, Salt Lake City, UT Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 8.81%
Kelly a Priegnitz Individual Corporate DirectorDirector Jun 1, 2020
Chris Beall Individual Corporate DirectorDirector Jun 1, 2020
Maranon Mezzanine Fund II, L.P. Organization, Chicago, IL Financial institution, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 5.28%
Grant Brown Individual Corporate OfficerExecutive Vice-President Jun 1, 2020
Care Investor Holdings, LLC Organization, Palo Alto, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2020 100%
John B Hunter Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2020 23.78%
Corporate OfficerPresident & Ceo Jun 1, 2020
Corporate DirectorDirector Jun 1, 2020
W-2 Managing EmployeePresident & Ceo Jun 1, 2020

Facilities with the same owner 64

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

View all 64

Change-of-ownership history 1

DateEventCounterparty
Oct 13, 2016 Change of OwnershipThis provider was the buyer Hospice of New JerseyCCN 311540, NJ, NPI 1942224423

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1407208028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAULCONER DR STE 200",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035089",
            "telephone_number": "434-977-9711",
            "fax_number": "434-235-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROADACRES DR STE 1",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033156",
            "telephone_number": "973-893-0818",
            "fax_number": "973-593-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "EKENSEAIR",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_title_or_position": "SR MGR LEGAL & REGULATORY AFFAIRS",
        "authorized_official_telephone_number": "857-331-6275"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "22741",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.