Organization Active NPI

Family Choice Hospice, LLC

  • Community Based Hospice Care Agency
  • Clark, NJ
National Provider Identifier
1801982012
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
24101 Issued in NJ
Legal business name
FAMILY CHOICE HOSPICE, LLC
Practice address
77 Brant Ave
Suite 105
Clark, NJ 07066-1560
Phone
(732) 396-1200
Fax
(732) 396-0010
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jay Zimmet
Title
Managing Partner
Phone
(732) 396-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 24101 NJ Primary

Addresses

Primary practice location

77 Brant Ave
Suite 105
Clark, NJ 07066-1560

Mailing address

77 Brant Ave
Suite 105
Clark, NJ 07066-1560
Phone (732) 396-1200

Other identifiers 1

IdentifierTypeStateIssuer
0129071MedicaidNJ

National Provider Directory

National Provider Directory

Locations

77 Brant Ave
Ste 105
Clark, NJ 07066
Phone (732) 396-1200

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801982012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BRANT AVE",
            "address_2": "SUITE 105",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661560",
            "telephone_number": "732-396-1200",
            "fax_number": "732-396-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BRANT AVE",
            "address_2": "SUITE 105",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661560",
            "telephone_number": "732-396-1200",
            "fax_number": "732-396-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHOICE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMET",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "732-396-1200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "24101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129071",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.