Healthcare Provider Details

I. General information

NPI: 1154720522
Provider Name (Legal Business Name): ELIM WELLCARE HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2014
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14515 VALLEY VIEW AVE STE A
SANTA FE SPRINGS CA
90670-5236
US

IV. Provider business mailing address

14515 VALLEY VIEW AVE STE A
SANTA FE SPRINGS CA
90670-5236
US

V. Phone/Fax

Practice location:
  • Phone: 626-793-7511
  • Fax: 626-782-6990
Mailing address:
  • Phone: 626-793-7511
  • Fax: 626-782-6990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANNY CHUN
Title or Position: CEO
Credential:
Phone: 626-793-7511