First Health Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FIRST HEALTH HOSPICE LLC

Practice address

3131 Executive Pkwy Ste 106
Toledo, OH 43606-1327

Phone

(419) 214-1003

Fax

(419) 214-1516

NPI assigned

Apr 5, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Imran Khan

Title

Administrator

Phone

(419) 214-1003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Hospice certification: CCN 361717

Legal name

FIRST HEALTH HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 10, 2022

Last certification

Jan 10, 2022

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Dec 10, 2020 in OH

Enrollment address

3131 Executive Pkwy
Ste 106
Toledo, OH 43606-1327

Listed as

First Health Hospice LLCCCN 361717

Ownership

For-Profit

Certified

Jan 10, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Practitioners 1

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

• Jennifer Lynn Tresso, NP-C

  • Family Nurse Practitioner
  • Toledo, OH
  • NPI 1700428596
  NPD (past)

Affiliated clinicians 2

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

• Rugen M Alda, MD

  • Family Medicine Physician
  • Clyde, OH
  • NPI 1750340022

  Hospice

  Care Compare affiliation
• Rania Fahoury, MD

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1629068499

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1508445982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 EXECUTIVE PKWY STE 106",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061327",
            "telephone_number": "419-214-1003",
            "fax_number": "419-214-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 EXECUTIVE PKWY STE 106",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061327",
            "telephone_number": "419-214-1003",
            "fax_number": "419-214-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST HEALTH HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-214-1003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daylon Fischer
• Kelli Alisa Fischer, MFN, RD, LD
• Matthew Fischer, CNP
• John H Fish III, MD

• Community Based Hospice Care Agency in Toledo, OH
• Providers in Toledo, OH by specialty
• Community Based Hospice Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.