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LIFE SOURCE SERVICES LLC
NPI 1396707139
Hospice Care, Community Based in Oradell, NJ

Active since April 05, 2006CLIA 31D2328800 · Waiver
700 KINDERKAMACK RD STE 105, ORADELL, NJ 07649(888) 865-5103(201) 225-4769 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Source Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE SERVICES LLC (NPI 1396707139) is a healthcare organization registered as a hospice care, community based in Oradell, New Jersey and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Irina Etinger, Cpa, as its authorized official.

NPPES Registry Identity

NPI1396707139
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameLIFE SOURCE SERVICES LLC
Location Address700 KINDERKAMACK RD STE 105Oradell, NJ 07649
Mailing Address245 S Benton StLakewood, CO 80226-2453 · (303) 231-1203 · Fax (303) 234-0124
Phone(888) 865-5103
Fax(201) 225-4769
Organization SubpartNo
Authorized OfficialIrina EtingerCpa · (303) 231-1412
Enumeration DateApril 5, 2006
Last NPPES UpdateJuly 20, 2018
✔ NPI 1396707139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in NJ · 22933
700 KINDERKAMACK RD STE 105, Oradell, NJ 07649
Open in Google Maps ↗

Other Identifiers 1

Medicaid8608709NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2328800

Life Source Services LLC · Oradell, NJ
Active · expires Aug 17, 2027
CLIA Number31D2328800
Laboratory TypeHospice
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorDayna Charalambous
Laboratory Phone(201) 523-9749
Laboratory LocationLife Source Services LLC700 Kinderkamack Road Suite 105, Oradell, NJ 07649
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Life Source Services LLC (CMS certification number 311549), from CMS Care Compare.

Life Source Services LLC

Hospice · Oradell, NJ
OwnershipFor-Profit
CMS Certification Number311549
CMS RegionRegion 2
Medicare-Certified SinceMay 30, 2001
Average Daily Census48patients per day on average
Location700 Kinderkamack Road, Suite 105Oradell, NJ 07649 · Bergen County
Phone(201) 523-9745
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home31%
Assisted living facility16%
Nursing facility0%
Skilled nursing facility51%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations2%
Patients with cancer
13%
Patients with dementia
55%
Patients with circulatory or heart disease
9%
Patients with respiratory disease
0%
Patients with other conditions
5%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
111 patient stays
98.2%
Beliefs & Values Addressed (if desired by the patient)
111 patient stays
90.1%
Hospice and Palliative Care Pain Screening
111 patient stays
94.6%
Hospice and Palliative Care Pain Assessment
25 patient stays
80%
Hospice and Palliative Care Dyspnea Screening
111 patient stays
98.2%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
20 patient stays
100%
Hospice and Palliative Care Composite Process Measure
111 patient stays
77.5%
Hospice Visits in the Last Days of Life
157 patient stays
28%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
8/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 52
56.3%
Early live discharges
National percentile 77
10%
Late live discharges
National percentile 65
45%
Burdensome transitions, Type 1
National percentile 40
5%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 85
$24,355
Nurse care minutes per routine home care days
National percentile 25
10 minutes
Skilled nursing minutes on weekends
National percentile 10
4.3%
Visits near death
National percentile 10
74.6%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Source Services LLC's NPI number?

The NPI number for Life Source Services LLC is 1396707139. It was assigned to this organization in the NPPES registry on April 5, 2006.

Where is Life Source Services LLC located?

Life Source Services LLC is located at 700 Kinderkamack Rd Ste 105, Oradell, NJ 07649. The listed phone number is (888) 865-5103.

What is Life Source Services LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Life Source Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2328800) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Life Source Services LLC a Medicare-certified hospice?

Yes. Life Source Services LLC is a Medicare-certified hospice (CMS certification number 311549), certified since May 30, 2001.

What insurance does Life Source Services LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Life Source Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Source Services LLC was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.