Vision Viejo Hospice Services

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

VISION VIEJO HOSPICE SERVICES

Practice address

27281 Las Ramblas
Ste 215
Mission Viejo, CA 92691-6324

Phone

(949) 328-3227

NPI assigned

Oct 5, 2015

Last updated

Feb 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gemma Benson

Title

Adminstrator

Phone

(949) 231-9226

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922478791. Details of each certification follow.

• CCN A01529 Hospice · Active · Details

Hospice certification: CCN A01529

Legal name

VISION VIEJO HOSPICE SERVICES

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 28, 2018

Last certification

Jun 28, 2018

Ownership / control type

Proprietary - Individual

Organization structure

CorporationProprietary

Incorporated

Feb 3, 2016 in CA

Enrollment address

27281 Las Ramblas
Ste 209
Mission Viejo, CA 92691-6324

Listed as

Vision Viejo Hospice ServicesCCN A01529 · All quality measures

Ownership

For-Profit

Certified

Jun 28, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Vision Viejo Hospice Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vision Viejo Hospice Services

  • Community Based Hospice Care Agency
  • Mission Viejo, CA
  • NPI 1104452093
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anna Yeung, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1043418619

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1922478791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27281 LAS RAMBLAS STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918303",
            "telephone_number": "949-328-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27281 LAS RAMBLAS",
            "address_2": "STE 215",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916324",
            "telephone_number": "949-328-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION VIEJO HOSPICE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "949-231-9226"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2301342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Villa Regina 2
• Jaqueline Villalobos
• Vincent Cano, OD, a Prof Corp
• Violeta Recalde MD Inc
• Vision Viejo Hospice Services
• Visoth Chan, D.P.M., Inc.
• Holly Vissman
• Visual Paradise Optometry, Inc (Optometry at the Shops)
• Deborah L Vitale, RPH
• Vituity - Urgent Care Services PC

• Community Based Hospice Care Agency in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.