Organization Active NPI

First Call Hospice LLC

  • Community Based Hospice Care Agency
  • Salem, OR
National Provider Identifier
1427824994
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 381589 · All quality measures
Certified
Oct 1, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2298009First Call Hospice LLC2608 Cascadia Industrial St SE, Suite 201, Salem, OR 97302Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Adam N Glaser Individual W-2 Managing EmployeeMD; Mar 1, 2024
Sheryl Mullin Individual 5% Or Greater Direct Ownership InterestOwner Sep 1, 2023 100%
Ronald Greg Bartel Individual Corporate OfficerCfo Sep 1, 2023
Emilie D Dohman Individual Corporate DirectorDirector Sep 8, 2023
Jacob Mullin Individual Corporate OfficerCeo Sep 1, 2023
W-2 Managing EmployeeAd; 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

Verify at the official NPI Registry.