Organization Active NPI

First Choice Home Health & Hospice Specialists, Inc.

Doing business as First Choice Hospice

  • Community Based Hospice Care Agency
  • Orem, UT
National Provider Identifier
1083622187
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2006-HOSPICE-67294 Issued in UT
Legal business name
FIRST CHOICE HOME HEALTH & HOSPICE SPECIALISTS, INC.
Doing business as
First Choice Hospice
Practice address
560 W 800 N # 204
Orem, UT 84057-3746
Phone
(801) 434-4100
Fax
(801) 434-8899
NPI assigned
Aug 4, 2006
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Richard Beau Sorensen
Title
Coo
Phone
(801) 434-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2006-HOSPICE-67294 UT Primary

Addresses

Primary practice location

560 W 800 N # 204
Orem, UT 84057-3746

Mailing address

560 W 800 N # 204
Orem, UT 84057-3746
Phone (801) 434-4100

Other practice location 1

5286 S Commerce Dr Ste A186
Murray, UT 84107-5476
Phone (801) 434-4100

Other names 1

  • First Choice Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050325000479 UT Part A Provider - Hospice 0244286987 Practice locations: Orem, UT; Murray, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083622187. Details of each certification follow.

Hospice certification: CCN 461549

Legal name
FIRST CHOICE HOME HEALTH & HOSPICE SPECIALISTS INC
Doing business as
FIRST CHOICE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 3, 2005
Last certification
Jan 29, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 9, 2005 in UT
Enrollment address
560 W 800 N
Ste 204
Orem, UT 84057-3746

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospice

Medicare Care Compare
Listed as
First Choice HospiceCCN 461549 · All quality measures
Ownership
For-Profit
Certified
Jun 3, 2005
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
First Choice Home Health Hospice Specialists Inc2 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.

Locations

5286 S Commerce Dr
Ste A186
Murray, UT 84107
Phone (801) 434-4100

560 W 800 N
Ste 204
Orem, UT 84057
Phone (801) 434-4100

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Colette Johnson Individual W-2 Managing EmployeeDirector of Nursing Feb 1, 2022
Richard Beau Sorensen Individual 5% Or Greater Direct Ownership Interest Mar 10, 2023 49%
Corporate OfficerChief Operating Offier Aug 2, 2011
Corporate DirectorBoard Member Aug 2, 2011
W-2 Managing EmployeeAlternate Administrator May 1, 2016
Benjamin R Forstner Individual 5% Or Greater Direct Ownership Interest Mar 10, 2023 49%
Corporate OfficerChief Executive Officer Nov 1, 2011 50%
Corporate DirectorBoard Member Nov 1, 2011
W-2 Managing EmployeeAd; Jan 1, 2024
Sara a Wells Individual W-2 Managing EmployeeMD; Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
First Choice Home Health & Hospice Specialists IncOrem, UT, CCN 467071 Home health agency Operational/Managerial Control (100%) Dec 31, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1083622187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 800 N # 204",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573746",
            "telephone_number": "801-434-4100",
            "fax_number": "801-434-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W 800 N # 204",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573746",
            "telephone_number": "801-434-4100",
            "fax_number": "801-434-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5286 S Commerce Dr Ste A186",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841075476",
            "country_code": "US",
            "telephone_number": "801-434-4100",
            "fax_number": "801-434-8899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST CHOICE HOME HEALTH & HOSPICE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BEAU",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-434-4100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2006-HOSPICE-67294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Choice Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.