A-1 Healthcare Management
Organization Active NPI Community Based Hospice Care Agency · Huntington Beach, CA
NPI 1083969711 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1083969711
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 550002129 (CA)
- Legal business name
- A-1 HEALTHCARE MANAGEMENT
- Practice address
- 5011 Argosy Ave Ste 5
Huntington Beach, CA 92649-1002 - Phone
- (714) 379-3074
- Fax
- (714) 379-3075
- NPI assigned
- Jul 18, 2012
- Organization subpart
- No
Authorized official
- Name
- Binita T. Trivedi
- Title
- Administrator
- Phone
- (562) 400-0244
Owners & managing parties with NPI records 1
-
Sassan Farjami, M.D.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Affiliated clinicians 1
-
Sassan Farjami, M.D.
Medicare Care Compare: Hospice
- Listed as
- A-1 Hospice
- Ownership
- For-Profit
- Certified
- Mar 12, 2013
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2054600 | A-1 Hospice | Certificate of waiver | Feb 24, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospice certification: CCN 551726
- Legal name
- A-1 HEALTHCARE MANAGEMENT
- Doing business as
- A-1 HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 12, 2013
- Last certification
- May 30, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 14, 2003 in CA
- Enrollment address
- 5011 Argosy Ave
Ste 5
Huntington Beach, CA 92649-1002
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Sassan Farjami |
Contracted Managing Employee |
Oct 1, 2021 | 100% |
| Tushar M Trivedi |
5% Or Greater Direct Ownership Interest |
Apr 1, 2003 | 50% |
| Corporate Director |
Apr 1, 2003 | 50% | |
| Binita T Trivedi |
5% Or Greater Direct Ownership Interest |
Apr 1, 2003 | 50% |
| W-2 Managing Employee |
Apr 2, 2006 | 100% | |
| J Andrei Villanueva |
W-2 Managing Employee |
May 16, 2025 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120829000520 | CA | Part a Provider - Hospice | 0244272805 | Practice locations: Huntington Beach, CA |
National Provider Directory
- Tax ID family
- A-1 Healthcare Management
Locations
5011 Argosy Ave
Ste 4
Huntington Beach, CA 92649
Phone (714) 650-8519
5011 Argosy Ave
Ste 5
Huntington Beach, CA 92649
Phone (714) 379-3074
18600 Main St
Ste 275
Huntington Beach, CA 92648
Phone (714) 375-8900
3740 Long Beach Blvd
#201202
Long Beach, CA 90807
Phone (562) 989-8200
3740 Long Beach Blvd
Long Beach, CA 90807
Phone (562) 989-2100
1050 E Wardlow Rd
#101
Long Beach, CA 90807
Phone (562) 997-7242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 550002129 | CA | Yes |
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
5011 Argosy Ave Ste 5
Huntington Beach, CA 92649-1002
Mailing address
5011 Argosy Ave Ste 5
Huntington Beach, CA 92649-1002
Phone (714) 379-3074
Other names
- A-1 Hospice
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All providers in Huntington Beach, CA · Community Based Hospice Care Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.