NPIMap

Organization Active NPI

Holy Redeemer Home Care, Inc.

Doing business as Holy Redeemer Home Care - NJ, South

  • Home Health Agency
  • Runnemede, NJ
National Provider Identifier
1730153479
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
22247 Issued in NJ
Legal business name
HOLY REDEEMER HOME CARE, INC.
Doing business as
Holy Redeemer Home Care - NJ, South
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
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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
Home Health Agency 251E00000X 22247 NJ Primary

Addresses

Primary practice location

160 E 9TH Ave
Runnemede, NJ 08078-1170

Mailing address

160 E 9TH Ave
Runnemede, NJ 08078-1170
Phone (856) 939-9000

Other practice location 1

1135 E Chestnut Ave Ste 2A
Vineland, NJ 08360-5001
Phone (856) 939-9000

Other names 1

  • Holy Redeemer Home Care - NJ, South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000549 NJ Part A Provider - Home Health Agency 3072576719 Practice locations: Runnemede, NJ; Vineland, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730153479. Details of each certification follow.

Home health agency certification: CCN 317025

Legal name
HOLY REDEEMER HOME CARE INC
Doing business as
HOLY REDEEMER HOME CARE- NJ SOUTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1966
Last certification
Nov 20, 2020
Ownership / control type
Proprietary
Organization structure
CorporationNon-profit
Incorporated
Jan 14, 1991 in NJ
Enrollment address
160 E 9TH Ave
Ste B
Runnemede, NJ 08078-1168

Care Compare: Home health agency

Medicare Care Compare
Listed as
Holy Redeemer Home Care NJ SouthCCN 317025 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 1, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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

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

1135 E Chestnut Ave
Ste 2A
Vineland, NJ 08360
Phone (856) 939-9000

1138 E Chestnut Ave
Ste 2A
Vineland, NJ 08360
Phone (856) 939-9000

1138 E Chestnut Ave
Ste Ab
Vineland, NJ 08360
Phone (856) 939-9000

521 Moredon Rd
Fl 3
Huntingdon Valley, PA 19006

Ownership & related parties

All disclosed owners & managing parties 11

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, Board Member Oct 1, 2004
Corporate DirectorPresident/Ceo, Board Member Oct 1, 2004
W-2 Managing EmployeePresident/Ceo Oct 1, 2004
Operational/Managerial ControlPresident/Ceo, Board Member Oct 1, 2004
Donald F Friel Individual Corporate OfficerAssistant Treasurer Oct 2, 2004
Corporate DirectorBoard Member Oct 1, 2004
W-2 Managing EmployeeExecutive Vice President, Board Oct 2, 2004
Cristina Peoples Individual Corporate OfficerSecretary Jul 1, 2021
W-2 Managing EmployeeSecretary Jul 1, 2021
Monica L Castano Individual W-2 Managing EmployeeVice President Jun 21, 2023
Alan Rosenberg Individual Corporate OfficerExecutive Vice President Jan 1, 2022
W-2 Managing EmployeeExecutive Vice President Jan 1, 2022
Holy Redeemer Health System Organization, Huntingdon Valley, PA Corporation, Medical provider/supplier, Non-profit Operational/Managerial Control Oct 1, 2004 100%
Eileen T Smith Individual Corporate OfficerAssistant Secretary Sep 28, 2015
Carl Alyn Rosenbaum Individual Corporate DirectorSenior VP/Medical Director, Boar Oct 1, 2004
W-2 Managing EmployeeSenior VP/Medical Director Oct 1, 2004
George W Hamilton Individual Corporate OfficerTreasurer Jan 1, 2022
W-2 Managing EmployeeVP Financial Reporting Jan 1, 2011
Michael Keen Individual Corporate OfficerAssistant Treasurer Jan 1, 2022
W-2 Managing EmployeeCfo Mar 1, 2020
Michele L Urofsky Individual Corporate DirectorExecutive Vice President/Board M Oct 1, 2004
W-2 Managing EmployeeExecutive Vice President Oct 1, 2004

Owners & managing parties with NPI records 9

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

Affiliated clinicians 93

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

View all 93

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": "1707264000000",
    "number": "1730153479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 9TH AVE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781170",
            "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": [
        {
            "address_1": "1135 E Chestnut Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083605001",
            "country_code": "US",
            "telephone_number": "856-939-9000",
            "fax_number": "856-939-9040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLY REDEEMER HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "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": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "22247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Redeemer Home Care - NJ, South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holy Redeemer Home Care - NJ, South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Runnemede, NJ

Sources for this page

Verify at the official NPI Registry.