First American Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FIRST AMERICAN HOSPICE, INC

Practice address

436 W Colorado St Ste 209
Glendale, CA 91204-3074

Phone

(323) 648-8580

NPI assigned

Aug 7, 2019

Organization subpart

No

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

Authorized official

Name

Alla Petrosyan

Title

Ceo

Phone

(323) 648-8580

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN A11507

Legal name

FIRST AMERICAN HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 8, 2020

Last certification

May 8, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

436 W Colorado St
Ste 209
Glendale, CA 91204-3074

Listed as

First American Hospice, IncCCN A11507

Ownership

For-Profit

Certified

May 8, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• Alberto Degiovanni, MD

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1376070102

  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.

• Paula Bailey-Walton, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1174646590
  NPD (past)

Affiliated clinicians 1

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

• Phillip Tafoya, MD

  • Specialist
  • Temecula, CA
  • NPI 1073509469

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1629623509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W COLORADO ST STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043074",
            "telephone_number": "323-648-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 W COLORADO ST STE 209",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912043074",
            "telephone_number": "323-648-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST AMERICAN HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-648-8580"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary S. Finer, DDS
• Bruce Alfred Finstead, M.D.
• Firmus Hospice Inc
• First Aid Hospice, Inc.
• First American Home Health Inc
• First Bell Home Health Care
• First Choice Health and Spa Inc
• First Class Hospice, Inc.
• First Doc Home Health, Inc.
• First Healthy Choice LLC

• Community Based Hospice Care Agency in Glendale, CA
• Providers in Glendale, 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 Aug 7, 2019; 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.