Healthcare Provider Details

I. General information

NPI: 1417381336
Provider Name (Legal Business Name): HOSPICE OF ORANGE COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 N HARBOR BLVD STE 305A
FULLERTON CA
92835-4149
US

IV. Provider business mailing address

1440 N HARBOR BLVD STE 305A
FULLERTON CA
92835-4149
US

V. Phone/Fax

Practice location:
  • Phone: 714-587-9077
  • Fax:
Mailing address:
  • Phone: 714-587-9077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. AMY BANSAL
Title or Position: OWNER
Credential:
Phone: 714-587-9077