Active NPI
Mom888 LLC
Doing business as Solace Hospice and Palliative Care
- Community Based Hospice Care Agency
- Mission Viejo, CA
National Provider Identifier
1962176909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MOM888 LLC
- Doing business as
- Solace Hospice and Palliative Care
- Practice address
- 24196 Alicia Pkwy Ste H
Mission Viejo, CA 92691-3926 - Phone
- (949) 676-1276
- Fax
- (949) 676-1277
- NPI assigned
- Aug 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Minerva Sansano
- Title
- Ceo
- Phone
- (949) 676-1276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
24196 Alicia Pkwy Ste H
Mission Viejo, CA 92691-3926
Mailing address
24196 Alicia Pkwy Ste H
Mission Viejo, CA 92691-3926
Phone (949) 676-1276
Other names 1
- Solace Hospice and Palliative Care
National Provider Directory
National Provider DirectoryLocations
24196 Alicia Pkwy
Ste H
Mission Viejo, CA 92691
Phone (949) 676-1276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627948800000",
"number": "1962176909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24196 ALICIA PKWY STE H",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913926",
"telephone_number": "949-676-1276",
"fax_number": "949-676-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24196 ALICIA PKWY STE H",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926913926",
"telephone_number": "949-676-1276",
"fax_number": "949-676-1277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOM888 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-03",
"last_updated": "2021-08-03",
"certification_date": "2021-08-03",
"status": "A",
"authorized_official_last_name": "SANSANO",
"authorized_official_first_name": "MINERVA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-676-1276"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Solace Hospice and Palliative Care",
"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 Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.