MEDICARE: ORANGEVALE HOSPICE CARE, INC.

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

General Provider Information

NPI Number	:	1306456579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGEVALE HOSPICE CARE, INC.

Provider Business Mailing Address
First Line	:	5006 SUNRISE BLVD STE 101
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-4940
Country	:	US
Telephone Number	:	916-243-5510
Fax Number	:	916-603-3332

Provider Business Practice Location Address
First Line	:	5006 SUNRISE BLVD STE 101
Second Line	:
City	:	FAIR OAKS
State	:	CA
Zip	:	95628-4940
Country	:	US
Telephone Number	:	916-234-0385
Fax Number	:	833-740-3392

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. RUSSELL J RAMOS
Credential	:
Telephone Number	:	916-243-5510

Provider Enumeration Date	:	08/03/2020
Last Update Date	:	07/01/2025

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