Wind Breeze Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WIND BREEZE HOSPICE INC

Practice address

5311 Topanga Canyon Blvd Ste 311
Woodland Hills, CA 91364-1754

Phone

(818) 646-6977

NPI assigned

Sep 3, 2020

Last updated

Sep 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Semi Osemwengie Ojo

Title

Owner

Phone

(818) 646-6977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114531415. Details of each certification follow.

• CCN B31645 Hospice · Active · Details

Hospice certification: CCN B31645

Legal name

WIND BREEZE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 21, 2021

Last certification

Oct 21, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

5311 Topanga Canyon Blvd
Ste 311
Woodland Hills, CA 91364-1754

Listed as

Wind Breeze Hospice, IncCCN B31645 · All quality measures

Certified

Oct 21, 2021

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 3

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 1

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

• Neil Katchman, D.O.

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1053366047

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Stephen Pine, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1356352108

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1114531415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 311",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 TOPANGA CANYON BLVD STE 311",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641754",
            "telephone_number": "818-646-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND BREEZE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "SEMI",
        "authorized_official_middle_name": "OSEMWENGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-646-6977"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Anthony Wilson, PA
• Janelle Rae Wilson
• Jennifer Leanne Wilson
• Kenisha Wilson
• Roxanne Miles Wilson, MN,FNP/GNP,DSD,PHN,C
• Destine Michelle Windbush
• Suzanne M Winick, MFT
• Michelle Winkel, MFT, ATR
• Andrea C. Winnick, MD
• Jerold A. Winnick, MD

• Community Based Hospice Care Agency in Woodland Hills, CA
• Providers in Woodland Hills, 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 Sep 3, 2020; 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.