Active NPI
Life Hospice Inc
- Community Based Hospice Care Agency
- Livingston, NJ
National Provider Identifier
1730801952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LIFE HOSPICE INC
- Practice address
- 70 S Orange Ave Ste 245
Livingston, NJ 07039-4903 - Phone
- (973) 273-3441
- NPI assigned
- Sep 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dov Brafman
- Title
- Ceo
- Phone
- (973) 200-3045
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
70 S Orange Ave Ste 245
Livingston, NJ 07039-4903
Mailing address
70 S Orange Ave Ste 245
Livingston, NJ 07039-4903
Other names 1
- Life Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231023001723 | NJ | Part A Provider - Hospice | 3678929957 | Practice locations: Livingston, NJ |
Hospice certification: CCN 311596
- Legal name
- LIFE HOSPICE INC
- Doing business as
- LIFE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 21, 2023
- Last certification
- Dec 13, 2023
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 9, 2022 in NJ
- Enrollment address
- 70 S Orange Ave
Ste 245
Livingston, NJ 07039-4903
Care Compare: Hospice
Medicare Care Compare- Listed as
- Life Hospice
- Certified
- Dec 21, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2272393 | Life Hospice | Certificate of waiver | Nov 20, 2026 |
National Provider Directory
National Provider DirectoryLocations
70 S Orange Ave
Ste 245
Livingston, NJ 07039
Phone (973) 273-3441
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dov Brafman | 5% Or Greater Direct Ownership Interest | Sep 9, 2022 | 100% |
| Corporate Officer | Sep 9, 2022 | 100% | |
| W-2 Managing Employee | Sep 9, 2022 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 15
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Morristown, NJ
- NPI 1962820365
Hospice
-
- Geriatric Medicine (Internal Medicine) Physician
- Morristown, NJ
- NPI 1891256079
Hospice
-
- Geriatric Medicine (Internal Medicine) Physician
- Morristown, NJ
- NPI 1801047667
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1730801952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S ORANGE AVE STE 245",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 S ORANGE AVE STE 245",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "070394903",
"telephone_number": "973-273-3441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-14",
"last_updated": "2024-05-01",
"certification_date": "2022-12-27",
"status": "A",
"authorized_official_last_name": "BRAFMAN",
"authorized_official_first_name": "DOV",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "973-200-3045"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Life Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.