Active NPI
Family Choice Hospice, LLC
- Community Based Hospice Care Agency
- Clark, NJ
National Provider Identifier
1801982012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 24101
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0129071 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.