Provider Demographics
NPI:1275913758
Name:FIRSTCARE HOSPICE INC
Entity Type:Organization
Organization Name:FIRSTCARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAT
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:657-372-9820
Mailing Address - Street 1:5500 BOLSA AVE STE 222
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-5705
Mailing Address - Country:US
Mailing Address - Phone:714-732-6290
Mailing Address - Fax:714-988-7868
Practice Address - Street 1:5500 BOLSA AVE STE 222
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-5705
Practice Address - Country:US
Practice Address - Phone:714-732-6290
Practice Address - Fax:714-988-7868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based