Welby Way Home LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WELBY WAY HOME LLC

Practice address

6912 Owensmouth Ave # 218
Canoga Park, CA 91303-2040

Phone

(310) 614-3640

Fax

(310) 362-8743

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Daisy Mae Ang, NPNPI 1134679053

Title

Administrator

Phone

(747) 244-5487

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31625

Legal name

WELBY WAY HOME LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 20, 2022

Last certification

Jan 20, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jul 2, 2013 in CA

Enrollment address

6912 Owensmouth Ave
Ste 218
Canoga Park, CA 91303-2040

Listed as

Welby Way Home, LLCCCN B31625 · All quality measures

Certified

Jan 20, 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 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 2

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

• Daisy Mae Ang, NP

  • Family Nurse Practitioner
  • Winnetka, CA
  • NPI 1134679053

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control, Other, W-2 Managing Employee

  CMS ownership
• Adam B Sherman, DO

  • Family Medicine Physician
  • Oxnard, CA
  • NPI 1457486060

  W-2 Managing Employee

  CMS ownership

Practitioners 2

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

• Daisy Mae Ang, NP

  • Family Nurse Practitioner
  • Winnetka, CA
  • NPI 1134679053
  NPD Authorized official
• Adam B Sherman, DO

  • Family Medicine Physician
  • Oxnard, CA
  • NPI 1457486060
  NPD (past)

Affiliated clinicians 1

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

• Adam B Sherman, DO

  • Family Medicine Physician
  • Oxnard, CA
  • NPI 1457486060

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1144837386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21550 OXNARD ST.",
            "address_2": "3RD FLOOR SUITE # 57",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91367",
            "telephone_number": "818-579-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 OWENSMOUTH AVE # 218",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913032040",
            "telephone_number": "310-614-3640",
            "fax_number": "310-362-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELBY WAY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "ANG",
        "authorized_official_first_name": "DAISY MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "747-244-5487",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Canoga Park, 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 Feb 6, 2024; 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.