Provider Demographics
NPI:1376517011
Name:HOLY REDEEMER HOSPICE INC.
Entity Type:Organization
Organization Name:HOLY REDEEMER HOSPICE INC.
Other - Org Name:TRINITY HOSPICE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-698-3726
Mailing Address - Street 1:160 E 9TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:RUNNEMEDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08078-1168
Mailing Address - Country:US
Mailing Address - Phone:856-939-9000
Mailing Address - Fax:856-939-4040
Practice Address - Street 1:160 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:RUNNEMEDE
Practice Address - State:NJ
Practice Address - Zip Code:08078-1170
Practice Address - Country:US
Practice Address - Phone:800-255-8986
Practice Address - Fax:856-939-4040
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLY REDEEMER HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-16
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22794251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ311513Medicare PIN