Provider Demographics
NPI:1497157796
Name:SAINT JOHN HOSPICE
Entity Type:Organization
Organization Name:SAINT JOHN HOSPICE
Other - Org Name:BAYVIEW HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-962-4800
Mailing Address - Street 1:1055 WILSHIRE BLVD STE 1996
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-5602
Mailing Address - Country:US
Mailing Address - Phone:855-965-4800
Mailing Address - Fax:855-962-2436
Practice Address - Street 1:1055 WILSHIRE BLVD STE 1996
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-5602
Practice Address - Country:US
Practice Address - Phone:855-965-4800
Practice Address - Fax:855-962-2436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based