MEDICARE: SOUTH COUNTY HOSPICE, 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		CA

General Provider Information

NPI Number	:	1518322593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTH COUNTY HOSPICE, INC.

Provider Business Mailing Address
First Line	:	32332 CAMINO CAPISTRANO STE 201
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-3701
Country	:	US
Telephone Number	:	858-345-3267
Fax Number	:	949-656-7721

Provider Business Practice Location Address
First Line	:	32332 CAMINO CAPISTRANO STE 201
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-3701
Country	:	US
Telephone Number	:	858-345-3267
Fax Number	:	949-656-7721

Authorized Official
Title or Position	:	CEO
Name	:	DAVID EDWARD SPENCER
Credential	:
Telephone Number	:	760-809-5867

Provider Enumeration Date	:	12/17/2015
Last Update Date	:	12/02/2025

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