NPIMap

Organization Active NPI

Hospice of Oc, Inc.

  • Community Based Hospice Care Agency
  • Buena Park, CA
National Provider Identifier
1023624152
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE OF OC, INC.
Practice address
7430 Orangethorpe Ave
Buena Park, CA 90621-3315
Phone
(714) 790-0594
Fax
(714) 790-0595
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sookyung Choi
Title
Ceo
Phone
(714) 790-0594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

7430 Orangethorpe Ave
Buena Park, CA 90621-3315

Mailing address

7430 Orangethorpe Ave
Buena Park, CA 90621-3315
Phone (714) 790-0594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200930001913 CA Part A Provider - Hospice 8729407465 Practice locations: Buena Park, CA

Hospice certification: CCN B21735

Legal name
HOSPICE OF OC, INC
Doing business as
ORANGE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 13, 2021
Last certification
Oct 13, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 18, 2020 in CA
Enrollment address
7430 Orangethorpe Ave
Buena Park, CA 90621-3315

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of Oc, Inc.CCN B21735
Ownership
For-Profit
Certified
Oct 13, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7430 Orangethorpe Ave
Buena Park, CA 90621
Phone (714) 790-0594

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sookyung Choi Individual 5% Or Greater Direct Ownership Interest Jun 23, 2022 100%
Corporate OfficerCeo, Cfo, Secretary Jun 23, 2022
Corporate DirectorCeo, Cfo, Secretary Jun 23, 2022
W-2 Managing EmployeeCeo, Cfo, Secretary Jun 23, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1023624152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213315",
            "telephone_number": "714-790-0594",
            "fax_number": "714-790-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 ORANGETHORPE AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213315",
            "telephone_number": "714-790-0594",
            "fax_number": "714-790-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF OC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "SOOKYUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-790-0594"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.