Healthcare Provider Details

I. General information

NPI: 1225850480
Provider Name (Legal Business Name): CP LA COUNTY S-CA HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 TORRANCE BLVD STE B-1
TORRANCE CA
90503-4011
US

IV. Provider business mailing address

10 CADILLAC DR STE 400
BRENTWOOD TN
37027-1001
US

V. Phone/Fax

Practice location:
  • Phone: 800-829-8660
  • Fax:
Mailing address:
  • Phone: 800-558-8644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JOHN CULLEN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 800-558-8644