Organization
HOSPICE OF SAINT JOHN FOUNDATION, INC
Active
Other names
Hospice of Saint John
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY HUSON CPA (VP FINANCE/CFO)
(303) 232-7900
Entity
Organization
Contact information
Practice address
1320 EVERETT CT, LAKEWOOD, CO 80215-4830
(303) 232-7900
(303) 232-3614
Mailing address
1320 EVERETT CT, LAKEWOOD, CO 80215-4830
(303) 232-7900
(303) 232-3614
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
0739
CO
315D00000X
Inpatient Hospice
Primary
170490
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05655725
MEDICAID SKILLED LONG TERM CARE
CO
05
—
05800081
—
CO
Enumeration date
06/19/2006
Last updated
05/29/2008
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