Organization Active NPI

Lighthouse Hospice Inc.

  • Community Based Hospice Care Agency
  • Cherry Hill, NJ
National Provider Identifier
1861454829
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
LIGHTHOUSE HOSPICE INC.
Practice address
200 Lake Dr E Ste 205
Cherry Hill, NJ 08002
Phone
(856) 414-1155
Fax
(856) 414-1313
NPI assigned
Apr 5, 2006
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

200 Lake Dr E Ste 205
Cherry Hill, NJ 08002

Mailing address

500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711

Other identifiers 1

IdentifierTypeStateIssuer
7253800MedicaidNJ

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 NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040820000148 NJ Part A Provider - Hospice 2769456359 Practice locations: Hamilton, NJ; Cherry Hill, NJ

Hospice certification: CCN 311536

Legal name
LIGHTHOUSE HOSPICE, INC
Doing business as
LIGHTHOUSE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 8, 1994
Last certification
Feb 17, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
200 Lake Dr E
Ste 205
Cherry Hill, NJ 08002-1171

Care Compare: Hospice

Medicare Care Compare
Listed as
Lighthouse HospiceCCN 311536
Ownership
For-Profit
Certified
Aug 8, 1994
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0910313Lighthouse Hospice Inc200 Lake Drive East, Cherry Hill, NJ 08002Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Locations

200 Lake Dr E
Ste 205
Cherry Hill, NJ 08002
Phone (856) 414-1155

1040 Kings Hwy N
Ste 100
Cherry Hill, NJ 08034
Phone (856) 414-1155

3379 Mercerville Quakerbridge Rd
Ste 107
Hamilton, NJ 08619
Phone (609) 415-3960

81 Glade Dr
Kittanning, PA 16201
Phone (724) 431-3243

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 Dec 9, 2020 29.16%
Jesse Reo Moore Individual Corporate OfficerChief Administrative Officer May 26, 2021
W-2 Managing EmployeeChief Administrative Officer May 26, 2021
Care Hospice II, Inc. Organization, Charlottesville, VA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 7, 2020 100%
Thomas H. Lee Equity Fund VIII, L.P. Organization, Boston, MA For-profit, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 15.07%
Thomas H. Lee Parallel Fund VIII, L.P. Organization, Boston, MA Holding company, Private equity company 5% Or Greater Indirect Ownership Interest Dec 9, 2020 27.44%
Care Hospice Acquisition, Inc. Organization, Charlottesville, VA Created for acquisition, Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 13, 2017 100%
Wunhuey Cheng Individual Contracted Managing EmployeeMD; Dec 20, 2018
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 Dec 9, 2020 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 Dec 9, 2020 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 Dec 9, 2020 100%
Grant Brown Individual Corporate OfficerExecutive Vice President Apr 13, 2017
W-2 Managing EmployeeChief Financial Officer Dec 10, 2021
John B Hunter Individual 5% Or Greater Indirect Ownership Interest Dec 9, 2020 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 Dec 9, 2020 100%
Meredith Darabasz Individual W-2 Managing EmployeeAd; Jul 7, 2025
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.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holisticare Hospice of New Jersey LLCToms River, NJ, CCN 311578 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 7, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1861454829",
    "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": "200 LAKE DR E STE 205",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08002",
            "telephone_number": "856-414-1155",
            "fax_number": "856-414-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7253800",
            "state": "NJ"
        }
    ],
    "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 Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.