Western Care Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WESTERN CARE HOSPICE, INC.

Practice address

14545 Victory Blvd
Suite 505
Van Nuys, CA 91411-1620

Phone

(818) 787-7702

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Divina Russell, BSN, RN

Title

President

Phone

(818) 787-7702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN 751718

Legal name

WESTERN CARE HOSPICE, INC.

Certification status

Terminated Voluntary: merger or closure, May 1, 2026

Provider type (POS)

Hospice

Participating since

Jun 19, 2015

Last certification

Jan 28, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 23, 2010 in CA

Enrollment address

14545 Victory Blvd
Ste 505
Van Nuys, CA 91411-4183

Listed as

Western Care Hospice, Inc.CCN 751718 · All quality measures

Ownership

For-Profit

Certified

Jun 19, 2015

Medicare certification status

Terminated Voluntary: merger or closure, May 1, 2026From the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376179200000",
    "number": "1023328291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 VICTORY BLVD STE 505",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114183",
            "telephone_number": "818-787-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 VICTORY BLVD",
            "address_2": "SUITE 505",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111620",
            "telephone_number": "818-787-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CARE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2013-08-11",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-787-7702",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.