Healthcare Provider Details

I. General information

NPI: 1528972502
Provider Name (Legal Business Name): SAINT JOHN HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 S EASTERN AVE STE 210
COMMERCE CA
90040-4028
US

IV. Provider business mailing address

5800 S EASTERN AVE STE 210
COMMERCE CA
90040-4028
US

V. Phone/Fax

Practice location:
  • Phone: 855-962-4800
  • Fax: 855-962-2436
Mailing address:
  • Phone: 855-962-4800
  • Fax: 855-962-2436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MATTHEW KARP
Title or Position: CEO
Credential:
Phone: 855-962-4800