Healthcare Provider Details

I. General information

NPI: 1366782484
Provider Name (Legal Business Name): 247 HOSPICE - ORANGE COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 07/21/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 YORBA PL STE 101
PLACENTIA CA
92870-3152
US

IV. Provider business mailing address

1075 YORBA PL STE 101
PLACENTIA CA
92870-3152
US

V. Phone/Fax

Practice location:
  • Phone: 714-464-7777
  • Fax: 714-908-2345
Mailing address:
  • Phone: 714-464-7777
  • Fax: 714-908-2345

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: VINCE TIEN
Title or Position: PRESIDENT
Credential:
Phone: 714-464-7777