Organization Active NPI

CP Orange Co South S-Ca Hospice, LLC

  • Community Based Hospice Care Agency
  • Mission Viejo, CA
National Provider Identifier
1497577647
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CP ORANGE CO SOUTH S-CA HOSPICE, LLC
Doing business as
Providence at Home with Compassus Hospice Care, Orange County South
Practice address
26522 La Alameda Ste 120-a
Mission Viejo, CA 92691-6330
Phone
(800) 850-2631
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Terri Warren
Title
Chief Executive Officer
Phone
(310) 480-2982

Specialties & licenses 1

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

Addresses

Primary practice location

26522 La Alameda Ste 120-a
Mission Viejo, CA 92691-6330

Mailing address

26522 La Alameda Ste 120-a
Mission Viejo, CA 92691-6330

Other names 1

  • Providence at Home with Compassus Hospice Care, Orange County South Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2038249CP Orange Co South S-Ca Hospice, LLC Dba26522 La Alameda Suite 120-a, Mission Viejo, CA 92691Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

26522 La Alameda
Ste 120A
Mission Viejo, CA 92691
Phone (800) 850-2631

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1497577647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 120-A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 120-A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916330",
            "telephone_number": "800-850-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP ORANGE CO SOUTH S-CA HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-480-2982"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence at Home with Compassus Hospice Care, Orange County South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.