Organization Active NPI

Hearth Hospice of Brunswick, LLC

  • Community Based Hospice Care Agency
  • Brunswick, GA
National Provider Identifier
1780215764
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jul 20, 2026

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 851531
Ownership
Other
Certified
Jun 24, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
THL Equity Fund VIII Investors (Hospice Care), L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Feb 11, 2021 29.16%
Jesse Reo Moore Individual Corporate OfficerChief Administrative Officer May 26, 2021
W-2 Managing EmployeeChief Administrative Officer May 26, 2021
Care Hospice, Inc. Organization, Charlottesville, VA Corporation, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 11, 2021 100%
Thomas H. Lee Equity Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Feb 11, 2021 15.07%
Maisara Kobaisy Individual Contracted Managing EmployeeMD; Oct 1, 2024
Thomas H. Lee Parallel Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Feb 11, 2021 27.44%
Care Hospice Acquisition, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 11, 2021 100%
Jessica Tanner Individual Contracted Managing EmployeeAd; Jan 23, 2026
Hospice Care Buyer, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 11, 2021 100%
Hospice Care Holdings, L.P. Organization, Boston, MA Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 11, 2021 100%
Bart K Valdez Individual Corporate OfficerChief Executive Officer Jan 6, 2025
W-2 Managing EmployeeChief Executive Officer Jan 6, 2025
Hospice Care Intermediate I, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 11, 2021 100%
Grant Brown Individual Corporate OfficerChief Financial Officer Feb 11, 2021
W-2 Managing EmployeeExecutive Vice President Dec 11, 2021
John B Hunter Individual 5% Or Greater Indirect Ownership Interest Feb 11, 2021 9.42%
Hospice Care Intermediate II, Inc. Organization, Boston, MA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 11, 2021 100%
Dana K Reid Individual Corporate OfficerSVP Compliance Regulatory & Privacy Jan 4, 2025
W-2 Managing EmployeeSVP Compliance Regulatory & Privacy 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.

Facilities with the same owner 38

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

View all 38

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

Verify at the official NPI Registry.