NPIMap

Organization Active NPI

Hunterdon Hospice, Inc

  • Community Based Hospice Care Agency
  • Flemington, NJ
National Provider Identifier
1740289362
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22704 Issued in NJ
Legal business name
HUNTERDON HOSPICE, INC
Practice address
215 Route 31
Flemington, NJ 08822-5752
Phone
(908) 788-6600
Fax
(908) 788-6651
NPI assigned
Jul 15, 2005
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mrs. Anne Boyle
Title
Director
Phone
(908) 788-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 22704 NJ Primary

Addresses

Primary practice location

215 Route 31
Flemington, NJ 08822-5752

Mailing address

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 788-6600

Other identifiers 1

IdentifierTypeStateIssuer
0097004MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100111000202 NJ Part A Provider - Hospice 3779621792 Practice locations: Flemington, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740289362. Details of each certification follow.

Hospice certification: CCN 311524

Legal name
HUNTERDON HOSPICE, INC
Doing business as
SIMITREE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 18, 1988
Last certification
Apr 13, 2022
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jul 27, 1979 in NJ
Enrollment address
215 Highway 31
Flemington, NJ 08822-5752

Care Compare: Hospice

Medicare Care Compare
Listed as
Hunterdon Hospice IncCCN 311524 · All quality measures
Ownership
Non-Profit
Certified
Oct 18, 1988
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

215 Highway 31
Flemington, NJ 08822
Phone (908) 788-6600

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
Patrick J Gavin Individual Corporate OfficerCeo Hunterdon Healthcare Feb 8, 2019
Corporate DirectorBoard Member Feb 8, 2019
Guy J Hoffman Individual Corporate OfficerChief Revenue Officer Nov 30, 2020
W-2 Managing EmployeeAd;Chief Revenue Officer Nov 30, 2020
Herbert P White Individual Corporate DirectorBoard Member Apr 22, 2021
Juan B Ochoa Individual W-2 Managing EmployeeMD; Apr 17, 2023
Katrin F Sypniewski Individual W-2 Managing EmployeeAd; Apr 17, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1740289362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224603",
            "telephone_number": "908-788-6600",
            "fax_number": "908-788-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225752",
            "telephone_number": "908-788-6600",
            "fax_number": "908-788-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERDON HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-788-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.