Organization Active NPI

Ennoble Hospice PA LLC

Doing business as Ennoble Care

  • Community Based Hospice Care Agency
  • Jenkintown, PA
National Provider Identifier
1619694254
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ENNOBLE HOSPICE PA LLC
Doing business as
Ennoble Care
Practice address
101 Greenwood Ave Ste 140
Jenkintown, PA 19046-2649
Phone
(215) 543-7143
Fax
(215) 967-1866
NPI assigned
Oct 25, 2022
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Sherie Stewart
Title
Licensing and Accreditation Manager
Phone
(801) 592-7827

Specialties & licenses 1

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

Addresses

Primary practice location

101 Greenwood Ave Ste 140
Jenkintown, PA 19046-2649

Mailing address

2 University PLZ Ste 210
Hackensack, NJ 07601-6211
Phone (862) 812-9010

Other names 1

  • Ennoble Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230706000627 PA Part A Provider - Hospice 4385003532 Practice locations: Jenkintown, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619694254. Details of each certification follow.

Hospice certification: CCN 731510

Legal name
ENNOBLE HOSPICE PA LLC
Doing business as
ENNOBLE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 14, 2023
Last certification
Dec 7, 2023
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jul 15, 2021 in PA
Enrollment address
101 Greenwood Ave
Ste 140
Jenkintown, PA 19046-2649

Care Compare: Hospice

Medicare Care Compare
Listed as
Ennoble CareCCN 731510 · All quality measures
Certified
Dec 14, 2023
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
39D2341121Ennoble Hospice PA LLC Dba Ennoble Care101 Greenwood Ave, Ste 140, Jenkintown, PA 19046Certificate of waiverMar 26, 2028

National Provider Directory

National Provider Directory

Locations

2 University Plz
Ste 210
Hackensack, NJ 07601

1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (267) 265-7981

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
Ennoble Care LLC Organization, Washington, DC LLC 5% Or Greater Direct Ownership Interest Jul 15, 2021 100%
Health Velocity Capital Ennoble Blocker, LLC Organization, San Mateo, CA LLC 5% Or Greater Indirect Ownership Interest Jul 15, 2021 7.74%
Norwest Venture Partners Xvii LP Organization, Menlo Park, CA 5% Or Greater Indirect Ownership Interest Jan 9, 2026 9.3%
Kushabhadra Das Individual 5% Or Greater Indirect Ownership InterestCeo Jan 9, 2026 15.25%
Corporate OfficerCeo Jul 15, 2021
W-2 Managing EmployeeCeo Jul 15, 2021
Partners Group Honor Holdings, LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Jan 9, 2026 6.92%
Circa Health LLC Organization, Washington, DC LLC 5% Or Greater Indirect Ownership Interest Jul 21, 2021 100%
Peterson Partners VII, LP Organization, Salt Lake City, UT Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 9, 2026 9.54%
Joseph D Hope Individual Contracted Managing EmployeeMD; Sep 15, 2023
Mindy Clark Individual W-2 Managing EmployeeAd;Executive Director Aug 31, 2023

Owners & managing parties with NPI records 1

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.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

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

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1619694254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 210",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016211",
            "telephone_number": "862-812-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE STE 140",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462649",
            "telephone_number": "215-543-7143",
            "fax_number": "215-967-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLE HOSPICE PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_title_or_position": "LICENSING AND ACCREDITATION MANAGER",
        "authorized_official_telephone_number": "801-592-7827"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ennoble Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jenkintown, PA

Sources for this page

Verify at the official NPI Registry.