NPIMap

Organization Active NPI

Vitality Hospice LLC

Doing business as Vitality Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Burlington, NJ
National Provider Identifier
1669091799
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VITALITY HOSPICE LLC
Doing business as
Vitality Hospice and Palliative Care
Practice address
218 W Broad St Ste 2
Burlington, NJ 08016-1430
Phone
(877) 288-0042
NPI assigned
Apr 9, 2020
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Tina Danielle Krajnikovich, ANPNPI 1750772562
Title
Ceo/Founder
Phone
(877) 288-0042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

218 W Broad St Ste 2
Burlington, NJ 08016-1430

Mailing address

5647 Nash Dr
Pipersville, PA 18947-1119
Phone (877) 288-0042

Other names 1

  • Vitality Hospice and Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200727003117 NJ Part A Provider - Hospice 2365866167 Practice locations: Burlington, NJ; Wall Township, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669091799. Details of each certification follow.

Hospice certification: CCN 311588

Legal name
VITALITY HOSPICE LLC
Doing business as
VITALITY HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 8, 2020
Last certification
Oct 8, 2020
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
Feb 24, 2020 in NJ
Enrollment address
218 W Broad St
Ste 2
Burlington, NJ 08016-1430

Care Compare: Hospice

Medicare Care Compare
Listed as
Vitality Hospice and Palliative CareCCN 311588 · All quality measures
Ownership
For-Profit
Certified
Oct 8, 2020
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
31D2186090Vitality Hospice LLC218 W Broad Street, Burlington, NJ 08016Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory

Locations

460 Veterans Dr
Burlington, NJ 08016

1670 Highway 34
Ste 3A
Wall Township, NJ 07727
Phone (877) 288-0042

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
John Joseph Lawall Individual 5% Or Greater Indirect Ownership InterestNon Managing Member Jul 1, 2022 40%
Tina Danielle Krajnikovich Individual 5% Or Greater Indirect Ownership InterestFounder/Ceo Jul 1, 2022 60%
Corporate Officer Feb 24, 2020
W-2 Managing Employee Feb 24, 2020
Vitality Health Holdings LLC Organization, Pipersville, PA LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Andrew J Blank Individual Contracted Managing EmployeeMedical Director Feb 12, 2024
Nichole Rowe Individual W-2 Managing EmployeeAdministrator Jun 1, 2021

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 1

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

Practitioners & affiliated clinicians

Practitioners 1

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1669091799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 NASH DR",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471119",
            "telephone_number": "877-288-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W BROAD ST STE 2",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080161430",
            "telephone_number": "877-288-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "KRAJNIKOVICH",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "877-288-0042",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitality Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vitality Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.