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NPI Code Detail

MEDICARE: VISION VIEJO HOSPICE SERVICES

MEDICARE: VISION VIEJO HOSPICE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104452093
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION VIEJO HOSPICE SERVICES
Provider Business Mailing Address
First Line : 27281 LAS RAMBLAS
Second Line : SUITE 200
City : MISSION VIEJO
State : CA
Zip : 92691-8303
Country : US
Telephone Number : 949-328-3227
Fax Number : 949-231-5858
Provider Business Practice Location Address
First Line : 27281 LAS RAMBLAS
Second Line : SUITE 200
City : MISSION VIEJO
State : CA
Zip : 92691-8303
Country : US
Telephone Number : 949-328-3227
Fax Number : 949-231-5858
Authorized Official
Title or Position : ADMINISTRATOR
Name : GEMMA BENSON
Credential :
Telephone Number : 949-231-9226
Provider Enumeration Date : 03/23/2020
Last Update Date : 03/23/2020

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Directions to “VISION VIEJO HOSPICE SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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