Eternal Life Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ETERNAL LIFE HOSPICE, INC.

Practice address

4165 E Thousand Oaks Blvd
Suite 325B
Westlake Village, CA 91362-3814

Phone

(805) 953-7273

Fax

(805) 953-8530

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Aleksandra Dubina

Title

Ceo

Phone

(805) 953-7273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31709

Legal name

ETERNAL LIFE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 21, 2022

Last certification

Jan 21, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

May 11, 2020 in CA

Enrollment address

30941 Agoura Rd
Ste 112
Westlake Village, CA 91361-4687

Listed as

Eternal Life Hospice, IncCCN B31709 · All quality measures

Certified

Jan 21, 2022

Medicare certification status

ActiveFrom 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 5

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Manuel Ramon Sacapano, M.D.

  • General Practice Physician
  • Hawaiian Gardens, CA
  • NPI 1851315980

  Corporate Director

  CMS ownership
• Shi Tang

  • Family Medicine Physician
  • Alhambra, CA
  • NPI 1023695814

  Corporate Director

  CMS ownership

Practitioners 1

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

• Manuel Ramon Sacapano, M.D.

  • General Practice Physician
  • Hawaiian Gardens, CA
  • NPI 1851315980
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Manuel Ramon Sacapano, M.D.

  • General Practice Physician
  • Hawaiian Gardens, CA
  • NPI 1851315980

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1053936534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD STE 325B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623850",
            "telephone_number": "805-953-7273",
            "fax_number": "805-953-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 325B",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623814",
            "telephone_number": "805-953-7273",
            "fax_number": "805-953-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL LIFE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "DUBINA",
        "authorized_official_first_name": "ALEKSANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-953-7273"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Espinosa
• Jesse S Esqueda, PSY.D.
• Liliana Julyssa Esquivel
• Kimberly Lynn Essling
• Eternal Cca, Inc.
• Ethan J. Baughman, M.D. Inc., a Medical Corporation
• Jody Pamela Evans, MFT
• Dana Louise Everett-Gibb
• Evish Kamrava MD PC
• Evolvere Psychology Incorporated

• Community Based Hospice Care Agency in Westlake Village, CA
• Providers in Westlake Village, 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 Jul 22, 2026; 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.