Public record

CMS Hospice Enrollments

Npi: 1275047706 · 2 matching records

Enrollment id: O20180224000113
Enrollment state: NJ
Provider type code: 00-08
Provider type text: PART A PROVIDER - HOSPICE
Npi: 1275047706
Multiple npi flag: N
Ccn: 311581
Associate id: 1759642234
Organization name: HOSPICE AT LSMNJ, INC.
Doing business as name: JOURNEY HOSPICE
Organization type structure: CORPORATION
Proprietary nonprofit: N
Address line 1: 6712 WASHINGTON AVE
Address line 2: STE 302
City: EGG HARBOR TOWNSHIP
State: NJ
Zip code: 082341999

Enrollment id: O20230504002032
Enrollment state: PA
Provider type code: 00-08
Provider type text: PART A PROVIDER - HOSPICE
Npi: 1275047706
Multiple npi flag: N
Ccn: 731512
Associate id: 1759642234
Organization name: HOSPICE AT LSMNJ, INC.
Doing business as name: JOURNEY HOSPICE
Incorporation date: 2017-11-15
Incorporation state: NJ
Organization type structure: CORPORATION
Proprietary nonprofit: N
Address line 1: 2101 BELMONT AVE
Address line 2: STE 3000
City: PHILADELPHIA
State: PA
Zip code: 191311648

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