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ORANGE COUNTY HOSPICE LLC NPI 1780989509


NPI Information

NPI: 1780989509
Provider Name: ORANGE COUNTY HOSPICE, LLC

Doing Business As: OC HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2056870

Address:
13522 NEWPORT AVE
SUITE 200
TUSTIN, CA
ZIP 92780
Phone: (714) 838-1542
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ORANGE COUNTY HOSPICE, LLC is a hospice care community based in Tustin, CA. ORANGE COUNTY HOSPICE, LLC NPI is 1780989509. The provider is registered as an organization entity type.
The provider Is Doing Business As Oc Hospice.

The provider's business location address is:

13522 NEWPORT AVE
SUITE 200
TUSTIN, CA
ZIP 92780-707
Phone: (714) 838-1542

The provider's authorized official is Jennifer Lyn Kennedy .
The authorized official title is Ceo/administrator and has the following contact phone number (714) 838-1542.

The CLIA number assigned to this NPI record is 05D2056870 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 1/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based550002206CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1551741MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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