Organization Active NPI

First Choice Hospice, LLC

Doing business as ACG Hospice

  • Community Based Hospice Care Agency
  • Elba, AL
National Provider Identifier
1821033200
Registry record updated Sep 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FIRST CHOICE HOSPICE, LLC
Doing business as
ACG Hospice
Practice address
966 Claxton Ave N
Elba, AL 36323-1541
Phone
(334) 897-0650
Fax
(334) 897-0019
NPI assigned
Jun 18, 2006
Last updated
Sep 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2024

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

Authorized official

Name
Mrs. Pamela Duncan Owens
Title
Cco
Phone
(800) 932-2738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

966 Claxton Ave N
Elba, AL 36323-1541

Mailing address

187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738

Other names 1

  • ACG Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060728000399 AL Part A Provider - Hospice 8325051881 Practice locations: Elba, AL; Montgomery, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821033200. Details of each certification follow.

Hospice certification: CCN 011656

Legal name
FIRST CHOICE HOSPICE, LLC
Doing business as
ACG HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 11, 2007
Last certification
Feb 9, 2022
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Apr 4, 2006 in AL
Enrollment address
966 Claxton Ave N
Elba, AL 36323-1541

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Acg Hospice-EnterpriseCCN 011656 · All quality measures
Ownership
For-Profit
Certified
Apr 11, 2007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Acg Hospice3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 21

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

NameRoleSinceShare
Rep Coinvest III Agp, L.P. Organization, Wilmington, DE Limited Partnership Interest Aug 23, 2024 26.7%
Jordan Crumley Individual Corporate DirectorDirector Accred/Reg Comp Aug 23, 2024
Rep Coinvest III Agp Blocker, Inc Organization, Wilmington, DE Corporation 5% Or Greater Indirect Ownership Interest Aug 23, 2024 31.7%
Troy Yarborough Individual Corporate OfficerCeo Aug 23, 2024
Hayley Eby Individual Corporate DirectorMNGR of External Audits/Enrollments Aug 23, 2024
Kathlyn Diefenderfer Individual Contracted Managing Employee Aug 23, 2024
Arrow Management Holdings LLC Organization, Charlotte, NC LLC, Holding company 5% Or Greater Indirect Ownership Interest Aug 23, 2024 100%
Rep Coinvest III Agp Blocker, LP Organization, Wilmington, DE Limited Partnership Interest Aug 23, 2024 30.97%
Janelle I Plows Individual Corporate DirectorHealth Information Manager Aug 23, 2024
Acg Intermediary LLC Organization, Wilmington, DE LLC 5% Or Greater Direct Ownership Interest Aug 23, 2024 100%
5% Or Greater Indirect Ownership Interest Aug 23, 2024 100%
Rep Coinvest III Agp GP LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Aug 23, 2024 26.14%
Acp 2021 Pluto I LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Aug 23, 2024 6.4%
TVG HCSC Blocker, LLC Organization, Spartanburg, SC LLC 5% Or Greater Indirect Ownership Interest Aug 23, 2024 15.61%
Pcif IV Holding Vehicle, L.P. Organization, Wilmington, DE Holding company Limited Partnership Interest Aug 23, 2024 6.75%
Acp 2021 Lava III LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Aug 23, 2024 9.67%
Pamela a Duncan Owens Individual Corporate OfficerCco Aug 23, 2024
Rep Agp Holdco, LLC Organization, Charlotte, NC LLC, Holding company 5% Or Greater Indirect Ownership Interest Aug 23, 2024 92.72%
Rep Agp III, L.P. Organization, Wilmington, DE Limited Partnership Interest Aug 23, 2024 40.9%
David W Gilligan Individual Corporate OfficerController Aug 23, 2024
Bobbie M Harden Individual W-2 Managing Employee Aug 23, 2024
Acg Acquisition LLC Organization, Wilmington, DE LLC 5% Or Greater Indirect Ownership Interest Aug 23, 2024 84.39%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

Practitioners & affiliated clinicians

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.

Affiliated clinicians 2

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1821033200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CHURCH ST STE 201",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065154",
            "telephone_number": "800-932-2738",
            "fax_number": "888-847-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 CLAXTON AVE N",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363231541",
            "telephone_number": "334-897-0650",
            "fax_number": "334-897-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "DUNCAN OWENS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "800-932-2738",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACG Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elba, AL

Sources for this page

Verify at the official NPI Registry.