St Lukes Hospice and Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST LUKES HOSPICE AND PALLIATIVE CARE INC

Practice address

14852 Ventura Blvd Ste 210B
Sherman Oaks, CA 91403-3483

Phone

(818) 805-4316

NPI assigned

May 1, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susana San Agustin, RN

Title

Ceo

Phone

(818) 285-8168

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1083235949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14852 VENTURA BLVD STE 210B",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14852 VENTURA BLVD STE 210B",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033483",
            "telephone_number": "818-805-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES HOSPICE AND PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "SAN AGUSTIN",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-285-8168",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Spokane, MA
• Chardei Nicole Spratley
• Tamara Sprigel
• Kayla Dianne Spruill
• Mirella Squillace, PTA
• Timothy James Stacy, ACNP
• Joseph Robert Stafford
• Mia Stallworth
• Jasmine Stanley-Haskins
• Anita Stanley, MFT

• Community Based Hospice Care Agency in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.