First Health Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FIRST HEALTH HOSPICE LLC

Practice address

17W300 22ND St Ste 220
Oakbrook Terrace, IL 60181-4490

Phone

(561) 234-7084

NPI assigned

Apr 22, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Imran Khan

Title

Administrator

Phone

(561) 234-7084

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Hospice certification: CCN 141718

Legal name

FIRST HEALTH HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 6, 2022

Last certification

Apr 6, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jan 14, 2021 in IL

Enrollment address

1111 W 22ND St
Ste 260
Oak Brook, IL 60523-7408

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• First Health Hospice LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Oak Brook, IL
  • NPI 1952122442

  4880083799

  Same PAC ID

Listed as

First Health Hospice LLCCCN 141718 · All quality measures

Ownership

For-Profit

Certified

Apr 6, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

First Health Hospice LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• First Health Hospice LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Oak Brook, IL
  • NPI 1952122442
  NPD tax ID

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srinithya Ramachandran, NP-G

  • Gerontology Clinical Nurse Specialist
  • Rochelle, IL
  • NPI 1376219113
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Philip Branshaw, MD

  • Internal Medicine Physician
  • Batavia, IL
  • NPI 1730123134

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1043892722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST STE 220",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814490",
            "telephone_number": "561-234-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W300 22ND ST STE 220",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814490",
            "telephone_number": "561-234-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HEALTH HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-234-7084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Community Based Hospice Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.