# HOSPICE OF SAINT JOHN FOUNDATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hospice of Saint John
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619912037
- **Authorized official:** MR. JERRY HUSON CPA (VP FINANCE/CFO)
- **Authorized official phone:** (303) 232-7900

## Contact information

- **Practice address:** 1320 EVERETT CT, LAKEWOOD, CO 80215-4830
- **Practice address phone:** (303) 232-7900
- **Practice address fax:** (303) 232-3614
- **Mailing address:** 1320 EVERETT CT, LAKEWOOD, CO 80215-4830
- **Mailing address phone:** (303) 232-7900
- **Mailing address fax:** (303) 232-3614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0739 | CO | — |
| 315D00000X | Inpatient Hospice | 170490 | CO | Yes |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 05/29/2008
