Southern California Hospice Foundation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SOUTHERN CALIFORNIA HOSPICE FOUNDATION

Doing business as

The Heavenly Home

Practice address

24552 Mosquero LN
Mission Viejo, CA 92691-4911

Phone

(949) 770-7243

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Wulfestieg

Title

Executive Director

Phone

(714) 404-0553

Specialties & licenses 1

Addresses

Other names 1

• The Heavenly Home Doing business as

Locations

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1144977398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PARK CENTER DR STE 1250",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267227",
            "telephone_number": "877-661-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24552 MOSQUERO LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914911",
            "telephone_number": "949-770-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA HOSPICE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "WULFESTIEG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-404-0553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heavenly Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Calfiornia Sunrise Recovery Center
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• Southern Calfiornia Sunrise Recovery Center
• Southern California Alcohol and Drug Recovery Foundation
• Southern California Sunrise Recovery Center
• Southland Family & Urgent Care Inc
• Southland Family & Urgent Care Inc
• Southland Physical Therapy Mission Viejo Clinic, PC (Southland Physical Therapy)
• SP Pediatrics (Sunny Trails Pediatrics)

• Assisted Living Facility in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.