Hospice of St John Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF ST JOHN INC

Practice address

530 S Glenoaks Blvd
Suite 206
Burbank, CA 91502-2753

Phone

(818) 843-9990

Fax

(818) 843-9991

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Maneesh A. BansalNPI 1063615102

Title

President/Ceo

Phone

(562) 924-9618

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maneesh A Bansal, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1063615102
  NPD (past) Authorized official

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1962791723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S GLENOAKS BLVD STE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022753",
            "telephone_number": "818-843-9990",
            "fax_number": "818-843-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S GLENOAKS BLVD",
            "address_2": "SUITE 206",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022753",
            "telephone_number": "818-843-9990",
            "fax_number": "818-843-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF ST JOHN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "MANEESH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "562-924-9618"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Horizon Medical Hospice
• Carina Alayne Hornbrook, PA-C
• Leslie Horta
• Daija Hosey
• Hospice Inc
• Hospice PBM Inc
• Hospitality Home Health Care, Inc.
• Danielle Marie Hostetler, LCSW
• Samuel Hou, M.D., PH.D.
• House of Health Home Care Agency, Inc.

• Community Based Hospice Care Agency in Burbank, CA
• Providers in Burbank, 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 Apr 10, 2018; 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.