Fast Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAST CARE HOSPICE, INC.

Practice address

7940 Garvey Ave Ste 206a
Rosemead, CA 91770-2454

Phone

(626) 382-2278

Fax

(626) 382-2277

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Nelli Manukyan

Title

Ceo

Phone

(626) 382-2278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31711

Legal name

FAST CARE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 15, 2022

Last certification

Feb 15, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 6, 2020 in CA

Enrollment address

7940 Garvey Ave
Unit 206a
Rosemead, CA 91770-2454

Listed as

Fast Care Hospice, IncCCN B31711

Certified

Feb 15, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 2

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

• Chase C Cho, DO

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1083292296

  W-2 Managing Employee

  CMS ownership
• Shi Tang

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1023695814

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1205442654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 GARVEY AVE STE 206A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702454",
            "telephone_number": "626-382-2278",
            "fax_number": "626-382-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 GARVEY AVE STE 206A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702454",
            "telephone_number": "626-382-2278",
            "fax_number": "626-382-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MANUKYAN",
        "authorized_official_first_name": "NELLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-382-2278"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• F.K. Medical Group
• Bunchen Fan, M.D.
• Tierra Faulkner
• Hoa Nguyen Faust, LICENSED MFT
• Isaiah Tajour Feil-Sharp
• Xin Feng
• Jennifer Christine Fennessy, RN

• Community Based Hospice Care Agency in Rosemead, CA
• Providers in Rosemead, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.