Firstcare Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FIRSTCARE HOSPICE INC

Practice address

5500 Bolsa Ave Ste 222
Huntington Beach, CA 92649-5705

Phone

(714) 732-6290

Fax

(714) 988-7868

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Dat Nguyen, PHD

Title

Ceo

Phone

(657) 372-9820

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A01532

Legal name

FIRSTCARE HOSPICE INC

Doing business as

LUCENT HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 29, 2018

Last certification

Aug 29, 2018

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 6, 2015 in CA

Enrollment address

5500 Bolsa Ave
Ste 222
Huntington Beach, CA 92649-5705

Listed as

Lucent HospiceCCN A01532

Ownership

For-Profit

Certified

Aug 29, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Yen-Hui Matthew Soong, M.D.

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1942572680

  Contracted Managing Employee

  CMS ownership

Practitioners 1

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

• Kevin Ketsan, NP

  • Adult Health Nurse Practitioner
  • Santa Ana, CA
  • NPI 1407248214
  NPD (past)

Affiliated clinicians 2

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

• James Daniel Fondren, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1598781213

  Hospice

  Care Compare affiliation
• Yen-Hui Matthew Soong, M.D.

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1942572680

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1275913758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BOLSA AVE STE 222",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495705",
            "telephone_number": "714-732-6290",
            "fax_number": "714-988-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BOLSA AVE STE 222",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495705",
            "telephone_number": "714-732-6290",
            "fax_number": "714-988-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-372-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Fiona Finch
• Jennifer Kaye Finfrock, M.ED. CCC-SLP
• Terry Lynn Finley, MFT
• David Firozz, AC
• First Christian Church of Huntington Beach
• Firstsight Vision Services, Inc.
• Michelle Marie Fischer, DPT
• Shaneese Fischer
• Fitfit Inc.
• Cynthia Lynn Fitzgerald, L.AC.

• Community Based Hospice Care Agency in Huntington Beach, CA
• Providers in Huntington Beach, 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 Mar 1, 2022; 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.