Active NPI
First Call Hospice LLC
- Community Based Hospice Care Agency
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- FIRST CALL HOSPICE LLC
- Practice address
- 2608 Cascadia Industrial St SE
Salem, OR 97302 - Phone
- (971) 345-2092
- Fax
- (503) 296-2034
- NPI assigned
- Nov 27, 2023
- Last updated
- Nov 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emilie Dohman
- Title
- Director of Operations
- Phone
- (971) 345-2092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2608 Cascadia Industrial St SE
Salem, OR 97302
Mailing address
2608 Cascadia Industrial St SE
Salem, OR 97302
Phone (971) 345-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240619000810 | OR | Part A Provider - Hospice | 1850834888 | Practice locations: Salem, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1427824994. Details of each certification follow.
Hospice certification: CCN 381589
- Legal name
- FIRST CALL HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 1, 2024
- Last certification
- Sep 10, 2024
- Organization structure
- LLC
- Incorporated
- Sep 20, 2023 in OR
- Enrollment address
- 2608 Cascadia Industrial St SE
Salem, OR 97302-1372
Care Compare: Hospice
Medicare Care Compare- Listed as
- First Call Hospice LLC
- Certified
- Oct 1, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2298009 | First Call Hospice LLC | Certificate of waiver | Jan 24, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adam N Glaser | W-2 Managing Employee | Mar 1, 2024 | |
| Sheryl Mullin | 5% Or Greater Direct Ownership Interest | Sep 1, 2023 | 100% |
| Ronald Greg Bartel | Corporate Officer | Sep 1, 2023 | |
| Emilie D Dohman | Corporate Director | Sep 8, 2023 | |
| Jacob Mullin | Corporate Officer | Sep 1, 2023 | |
| W-2 Managing Employee | Sep 1, 2023 | ||
| Operational/Managerial Control | Sep 1, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1701043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1427824994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 CASCADIA INDUSTRIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "971-345-2092",
"fax_number": "503-296-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 CASCADIA INDUSTRIAL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "97302",
"telephone_number": "971-345-2092",
"fax_number": "503-296-2034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CALL HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-27",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "DOHMAN",
"authorized_official_first_name": "EMILIE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "971-345-2092"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.