Hospice of New Jersey, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF NEW JERSEY, LLC

Practice address

400 Broadacres Dr
Fourth Floor
Bloomfield, NJ 07003-3156

Phone

(973) 893-0818

Fax

(973) 893-9828

NPI assigned

Jul 27, 2006

Last updated

Sep 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rich Fogle

Title

Cfo

Phone

(904) 493-6745

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Hospice of New Jersey LLC

  • Community Based Hospice Care Agency
  • Bloomfield, NJ
  • NPI 1407208028

  Sold to, 2016-10-13

  CMS change of ownership

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1942224423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LAURA ST",
            "address_2": "STE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023664",
            "telephone_number": "904-493-6745",
            "fax_number": "904-262-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROADACRES DR",
            "address_2": "FOURTH FLOOR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033156",
            "telephone_number": "973-893-0818",
            "fax_number": "973-893-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-493-6745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6506909",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S Jerome Holtz, M.D.
• Honest Touch LLC
• Horizon Link, LLC.
• Sady Horn
• Hospice of New Jersey LLC
• Chenling Hsieh
• Kuang-Yiao Yiao Hsieh, MD
• Cheryl Hsu, PHARM.D.
• Shu-Hsuan Hu, RDH
• Human First Therapy

• Community Based Hospice Care Agency in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.