NPIMap

Organization Active NPI

First Choice Home Health & Hospice Specialists Inc

  • Home Health Agency
  • Murray, UT
National Provider Identifier
1124036249
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2005-HHA-73511 Issued in UT
Legal business name
FIRST CHOICE HOME HEALTH & HOSPICE SPECIALISTS INC
Practice address
5296 S Commerce Dr # a-186
Murray, UT 84107-4767
Phone
(801) 685-2233
Fax
(801) 685-7887
NPI assigned
Aug 4, 2006
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
Mr. Richard Beau Sorensen
Title
Coo
Phone
(801) 434-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2005-HHA-73511 UT Primary

Addresses

Primary practice location

5296 S Commerce Dr # a-186
Murray, UT 84107-4767

Mailing address

560 W 800 N
#204
Orem, UT 84057-5477
Phone (801) 434-4100

Other practice location 1

560 W 800 N
#204
Orem, UT 84057-5477
Phone (801) 434-4100

Other names 1

  • First Choice Home Health & Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050728000609 UT Part A Provider - Home Health Agency 0244286987 Practice locations: Murray, UT; Orem, UT
O20061103000471 UT Part B Supplier - Independent Clinical Laboratory 0244286987 1 other NPI on this enrollment
Practice locations: Orem, UT; Salt Lake City, UT

Home health agency certification: CCN 467071

Legal name
FIRST CHOICE HOME HEALTH & HOSPICE SPECIALISTS INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 3, 1993
Last certification
Feb 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 9, 2005 in UT
Enrollment address
560 W 800 N
Ste 204
Orem, UT 84057-3746
HHA Branch

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Choice Home HealthCCN 467071
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 3, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
First Choice Home Health and 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

5296 S Commerce Dr
#A186
Murray, UT 84107
Phone (801) 685-2233

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

5296 S Commerce Dr
Salt Lake City, UT 84107
Phone (801) 755-0193

5284 S Commerce Dr
Ste C224
Salt Lake City, UT 84107
Phone (801) 434-4100

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
First Choice Home Health & Hospice Specialists Inc Organization, Orem, UT Operational/Managerial Control Dec 31, 2011 100%
Spencer Joseph Staples Individual W-2 Managing EmployeeAdministrator Jan 1, 2020
Richard Beau Sorensen Individual 5% Or Greater Direct Ownership Interest Mar 10, 2023 49%
Corporate OfficerChief Operating Officer Jan 1, 2020
Corporate DirectorBoard Member Mar 9, 2005
Benjamin R Forstner Individual 5% Or Greater Direct Ownership Interest Mar 10, 2023 49%
Corporate OfficerChief Executive Officer Jan 1, 2020
Corporate DirectorBoard Member Jan 1, 2020
David H Workman Individual Corporate DirectorBoard Member May 1, 2018
Mark Gerald Stott Individual Corporate DirectorBoard Member Mar 9, 2005
Bonnie Barrett Individual Corporate DirectorDirector of Nursing Apr 16, 2023

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1124036249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W 800 N",
            "address_2": "#204",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840575477",
            "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": "5296 S COMMERCE DR # A-186",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074767",
            "telephone_number": "801-685-2233",
            "fax_number": "801-685-7887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W 800 N",
            "address_2": "#204",
            "address_purpose": "LOCATION",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840575477",
            "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "UT",
            "license": "2005-HHA-73511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Home Health & Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Choice Home Health & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.