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NJ HOSPICE HOLDING LLC NPI 1205440757


NPI Information

NPI: 1205440757
Provider Name: NJ HOSPICE HOLDING LLC

Doing Business As: SWAN HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 31D2121154

Address:
1777 AVENUE OF THE STATES STE 106
LAKEWOOD, NJ
ZIP 08701
Phone: (877) 567-0402
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NJ HOSPICE HOLDING LLC is a hospice care community based in Lakewood, NJ. NJ HOSPICE HOLDING LLC NPI is 1205440757. The provider is registered as an organization entity type.
The provider Is Doing Business As Swan Hospice.

The provider's business location address is:

1777 AVENUE OF THE STATES STE 106
LAKEWOOD, NJ
ZIP 08701-205
Phone: (877) 567-0402

The provider's authorized official is Miriam Wilhelm .
The authorized official title is Ceo and has the following contact phone number (908) 818-1700.

The CLIA number assigned to this NPI record is 31D2121154 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2020 and was last updated on 12/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315D00000XHospice, InpatientNo
2251G00000XHospice Care, Community BasedYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.