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
1	251G00000X	Community Based Hospice Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1922478791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION VIEJO HOSPICE SERVICES

Provider Business Mailing Address
First Line	:	27281 LAS RAMBLAS STE 200
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-8303
Country	:	US
Telephone Number	:	949-328-3227
Fax Number	:

Provider Business Practice Location Address
First Line	:	27281 LAS RAMBLAS
Second Line	:	STE 215
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-6324
Country	:	US
Telephone Number	:	949-328-3227
Fax Number	:

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	GEMMA BENSON
Credential	:
Telephone Number	:	949-231-9226

Provider Enumeration Date	:	10/05/2015
Last Update Date	:	02/22/2023

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Directions to “VISION VIEJO HOSPICE SERVICES ” Practice Location

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