Active NPI
Lighthouse Hospice Inc.
- Community Based Hospice Care Agency
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7253800 | Medicaid | NJ |
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 NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 200 Lake Dr E
Ste 205
Cherry Hill, NJ 08002-1171
Care Compare: Hospice
Medicare Care Compare- Listed as
- Lighthouse Hospice
- Ownership
- For-Profit
- Certified
- Aug 8, 1994
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0910313 | Lighthouse Hospice Inc | Certificate of waiver | Jan 3, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| THL Equity Fund VIII Investors (Hospice Care), L.P. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 29.16% |
| Jesse Reo Moore | Corporate Officer | May 26, 2021 | |
| W-2 Managing Employee | May 26, 2021 | ||
| Care Hospice II, Inc. | 5% Or Greater Direct Ownership Interest | Dec 7, 2020 | 100% |
| Thomas H. Lee Equity Fund VIII, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 15.07% |
| Thomas H. Lee Parallel Fund VIII, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 27.44% |
| Care Hospice Acquisition, Inc. | 5% Or Greater Indirect Ownership Interest | Apr 13, 2017 | 100% |
| Wunhuey Cheng | Contracted Managing Employee | Dec 20, 2018 | |
| Hospice Care Buyer, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Hospice Care Holdings, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 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 | Dec 9, 2020 | 100% |
| Grant Brown | Corporate Officer | Apr 13, 2017 | |
| W-2 Managing Employee | Dec 10, 2021 | ||
| John B Hunter | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 9.42% |
| Hospice Care Intermediate II, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Meredith Darabasz | W-2 Managing Employee | Jul 7, 2025 | |
| 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stratford, NJ
- NPI 1063651677
Contracted Managing Employee
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Holisticare Hospice of New Jersey LLC | 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.
-
- Community Based Hospice Care Agency
- Toms River, NJ
- NPI 1528470523
5% Or Greater Direct Ownership Interest
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
- Toms River, NJ
- NPI 1528470523
Care Hospice Acquisition, Inc., Care Hospice II, 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
-
- Community Based Hospice Care Agency
- Bloomfield, NJ
- NPI 1407208028
Care Hospice Acquisition, Inc.
-
- Community Based Hospice Care Agency
- Mason, OH
- NPI 1942720388
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Canfield, OH
- NPI 1952692543
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1376240788
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Augusta, GA
- NPI 1043303753
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Weatherford, TX
- NPI 1972611143
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Marlborough, MA
- NPI 1730361742
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Bedford, NH
- NPI 1689981193
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Charlottesville, VA
- NPI 1740430263
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Concord, CA
- NPI 1467859900
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
-
- Community Based Hospice Care Agency
- Fall River, MA
- NPI 1134688575
Care Hospice Acquisition, 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 Equity Fund VIII, L.P. ·
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Cherry Hill, NJ
- NPI 1194939090
-
- Geriatric Medicine (Internal Medicine) Physician
- Cherry Hill, NJ
- NPI 1972583540
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stratford, NJ
- NPI 1063651677
Hospice
-
- Geriatric Medicine (Family Medicine) Physician
- Lawrence Township, NJ
- NPI 1356382600
Hospice
-
- Critical Care Medicine (Internal Medicine) Physician
- Deptford, NJ
- NPI 1376573204
Hospice
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
- 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.