Active NPI
Hearth Hospice of Brunswick, LLC
- Community Based Hospice Care Agency
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEARTH HOSPICE OF BRUNSWICK, LLC
- Practice address
- 1111 Glynco Pkwy Ste 210
Brunswick, GA 31525-7921 - Phone
- (912) 574-5882
- Fax
- (912) 574-5879
- NPI assigned
- Jan 29, 2020
- 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
- Jesse R Moore
- Title
- Chief Administrative Officer
- Phone
- (857) 331-6271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1111 Glynco Pkwy Ste 210
Brunswick, GA 31525-7921
Mailing address
500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200329000486 | GA | Part A Provider - Hospice | 3971932815 | Practice locations: Brunswick, GA |
Hospice certification: CCN 851531
- Legal name
- HEARTH HOSPICE OF BRUNSWICK, LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 24, 2020
- Last certification
- Jun 24, 2020
- Ownership / control type
- Other
- Organization structure
- LLC
- Incorporated
- Oct 9, 2019 in GA
- Enrollment address
- 1111 Glynco Pkwy
Ste 210
Brunswick, GA 31525-7921
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hearth Hospice of Brunswick, LLC
- Ownership
- Other
- Certified
- Jun 24, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
208 Scranton Connector
Ste 123
Brunswick, GA 31525
3216 Shrine Rd
Ste B
Brunswick, GA 31520
1111 Glynco Pkwy
Ste 210
Brunswick, GA 31525
Phone (912) 574-5882
200 Stephenson Ave
Ste 302
Savannah, GA 31405
Phone (912) 556-2123
1234 Chestnut St
Ste 114
Newton Upper Falls, MA 02464
Ownership & related parties
All disclosed owners & managing parties 16
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 |
|---|---|---|---|
| THL Equity Fund VIII Investors (Hospice Care), L.P. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 29.16% |
| Jesse Reo Moore | Corporate Officer | May 26, 2021 | |
| W-2 Managing Employee | May 26, 2021 | ||
| Care Hospice, Inc. | 5% Or Greater Direct Ownership Interest | Feb 11, 2021 | 100% |
| Thomas H. Lee Equity Fund VIII, L.P. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 15.07% |
| Maisara Kobaisy | Contracted Managing Employee | Oct 1, 2024 | |
| Thomas H. Lee Parallel Fund VIII, L.P. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 27.44% |
| Care Hospice Acquisition, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Jessica Tanner | Contracted Managing Employee | Jan 23, 2026 | |
| Hospice Care Buyer, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Hospice Care Holdings, L.P. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Bart K Valdez | Corporate Officer | Jan 6, 2025 | |
| W-2 Managing Employee | Jan 6, 2025 | ||
| Hospice Care Intermediate I, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Grant Brown | Corporate Officer | Feb 11, 2021 | |
| W-2 Managing Employee | Dec 11, 2021 | ||
| John B Hunter | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 9.42% |
| Hospice Care Intermediate II, Inc. | 5% Or Greater Indirect Ownership Interest | Feb 11, 2021 | 100% |
| Dana K Reid | Corporate Officer | Jan 4, 2025 | |
| W-2 Managing Employee | Jan 4, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Brunswick, GA
- NPI 1841590908
Contracted Managing Employee
Facilities with the same owner 38
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Augusta, GA
- NPI 1043303753
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Fort Oglethorpe, GA
- NPI 1821077017
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Mason, OH
- NPI 1942720388
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Canfield, OH
- NPI 1952692543
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1376240788
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Weatherford, TX
- NPI 1972611143
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Marlborough, MA
- NPI 1730361742
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Bedford, NH
- NPI 1689981193
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Charlottesville, VA
- NPI 1740430263
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Concord, CA
- NPI 1467859900
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Fall River, MA
- NPI 1134688575
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- West Warwick, RI
- NPI 1164948220
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
Practitioners & affiliated clinicians
Affiliated clinicians 3
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": "1580256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1780215764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAULCONER DR STE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229035089",
"telephone_number": "434-977-9711",
"fax_number": "434-235-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 GLYNCO PKWY STE 210",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315257921",
"telephone_number": "912-574-5882",
"fax_number": "912-574-5879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTH HOSPICE OF BRUNSWICK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-29",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "857-331-6271"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.