First State Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FIRST STATE HOSPICE CARE INC

Practice address

4798 Wenmar Dr
Saginaw, MI 48604-2843

Phone

(989) 771-2100

NPI assigned

Apr 15, 2014

Last updated

Apr 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Wenger

Title

President

Phone

(989) 771-2100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740609023. Details of each certification follow.

• CCN 231634 Hospice · Active · Details

Hospice certification: CCN 231634

Legal name

FIRST STATE HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 10, 2014

Last certification

Nov 10, 2014

Ownership / control type

Proprietary - Individual

Organization structure

CorporationProprietary

Incorporated

Apr 14, 2014 in MI

Enrollment address

4798 Wenmar Dr
Saginaw, MI 48604-2843

Listed as

First State Hospice Care IncCCN 231634 · All quality measures

Ownership

For-Profit

Certified

Nov 10, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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.

• Birjitender Singh, MD

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1124131719

  Contracted Managing Employee, Corporate Director

  CMS ownership

Affiliated clinicians 1

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

• Birjitender Singh, MD

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1124131719

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1740609023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4798 WENMAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042843",
            "telephone_number": "989-771-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4798 WENMAR DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042843",
            "telephone_number": "989-771-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STATE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-771-2100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lawrence Fiore, MD
• Tyler Firlik, MD
• First Choice Staffing Agency, LLC
• First Class Healthcare Staffing LLC
• First State Home Health Care Inc
• First State Private Duty Inc
• Benjamin Fischer
• Jenny Fischer
• Matthew Fischer
• Susanna Fisenkova, DDS

• Community Based Hospice Care Agency in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.