Carefirst Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CAREFIRST HOSPICE LLC

Practice address

7225 Novas LNDG
Sellersburg, IN 47172-1790

Phone

(812) 748-7433

NPI assigned

Aug 30, 2019

Last updated

Aug 30, 2019By 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

Russell PorrasNPI 1326202730

Title

President

Phone

(812) 748-7433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770131906. Details of each certification follow.

• CCN 151636 Hospice · Active · Details

Hospice certification: CCN 151636

Legal name

CAREFIRST HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 12, 2021

Last certification

Mar 12, 2021

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Enrollment address

7225 Novas LNDG
Sellersburg, IN 47172-1790

Listed as

Carefirst Hospice LLCCCN 151636 · All quality measures

Ownership

For-Profit

Certified

Mar 12, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Russell Porras, PT

  • Physical Therapist
  • Sellersburg, IN
  • NPI 1326202730

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Porras, PT

  • Physical Therapist
  • Sellersburg, IN
  • NPI 1326202730
  NPD Authorized official

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1770131906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 NOVAS LNDG",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721790",
            "telephone_number": "812-748-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 NOVAS LNDG",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721790",
            "telephone_number": "812-748-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFIRST HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-748-7433"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Sellersburg, IN
• Providers in Sellersburg, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.