Organization Active NPI

Westlake Village Hospice, Inc.

  • Community Based Hospice Care Agency
  • Westlake Village, CA
National Provider Identifier
1174996219
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WESTLAKE VILLAGE HOSPICE, INC.
Practice address
4165 E Thousand Oaks Blvd Ste 325D
Westlake Village, CA 91362-3814
Phone
(805) 870-0103
NPI assigned
Nov 12, 2015
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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) 870-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4165 E Thousand Oaks Blvd Ste 325D
Westlake Village, CA 91362-3814

Mailing address

4165 E Thousand Oaks Blvd Ste 325D
Westlake Village, CA 91362-3850
Phone (805) 870-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151202002492 CA Part A Provider - Hospice 3072813781 Practice locations: Westlake Village, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174996219. Details of each certification follow.

Hospice certification: CCN 921557

Legal name
WESTLAKE VILLAGE HOSPICE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 19, 2016
Last certification
Jul 19, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 19, 2015 in CA
Enrollment address
2659 Townsgate Rd
Ste 102
Westlake Village, CA 91361-5744

Care Compare: Hospice

Medicare Care Compare
Listed as
Westlake Village Hospice, IncCCN 921557 · All quality measures
Ownership
For-Profit
Certified
Nov 19, 2016
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2113225Westlake Village Hospice Inc4165 E Thousand Oaks Blvd, Ste 325D, Westlake Village, CA 91362Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Locations

2659 Townsgate Rd
Ste 102
Westlake Village, CA 91361
Phone (805) 870-0103

4165 E Thousand Oaks Blvd
Ste 325D
Westlake Village, CA 91362
Phone (805) 870-0103

Ownership & related parties

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.

NameRoleSinceShare
Rachel Duncan Individual Corporate DirectorAdministrator Aug 21, 2023
Cortni Shearn Individual Corporate DirectorAdministrator Oct 1, 2019
Aleksandra Dubina Individual Contracted Managing EmployeeCeo Oct 19, 2015 100%
5% Or Greater Direct Ownership InterestOwner Feb 24, 2017 100%
Corporate OfficerCeo Oct 19, 2015 100%
Corporate DirectorCeo Oct 19, 2015 100%
W-2 Managing EmployeeCeo Oct 19, 2015 100%
Operational/Managerial ControlCeo Oct 19, 2015 100%
Manuel R Sacapano Individual Corporate DirectorMedical Director Oct 18, 2019
Louis Benjamin Flores Individual Corporate DirectorMedical Director Feb 5, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1174996219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD STE 325D",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623850",
            "telephone_number": "805-870-0103",
            "fax_number": "805-367-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 E THOUSAND OAKS BLVD STE 325D",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623814",
            "telephone_number": "805-870-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE VILLAGE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "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": "805-870-0103"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.