Active NPI
Westlake Village Hospice, Inc.
- Community Based Hospice Care Agency
- Westlake Village, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- For-Profit
- Certified
- Nov 19, 2016
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2113225 | Westlake Village Hospice Inc | Certificate of waiver | May 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rachel Duncan | Corporate Director | Aug 21, 2023 | |
| Cortni Shearn | Corporate Director | Oct 1, 2019 | |
| Aleksandra Dubina | Contracted Managing Employee | Oct 19, 2015 | 100% |
| 5% Or Greater Direct Ownership Interest | Feb 24, 2017 | 100% | |
| Corporate Officer | Oct 19, 2015 | 100% | |
| Corporate Director | Oct 19, 2015 | 100% | |
| W-2 Managing Employee | Oct 19, 2015 | 100% | |
| Operational/Managerial Control | Oct 19, 2015 | 100% | |
| Manuel R Sacapano | Corporate Director | Oct 18, 2019 | |
| Louis Benjamin Flores | Corporate 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.
-
- General Practice Physician
- Hawaiian Gardens, CA
- NPI 1851315980
Corporate Director
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
- Westlake Speech Therapy, Inc. (Westlake Speech Therapy)
- Westlake Sports Physical Therapy Inc
- Westlake Surgical Center
- Westlake Surgical Center LLC
- Westlake Village Counseling Center
- Westlake Village Orthopedics
- Westlake Village Recovery Center, LLC
- Westlake Village Urgent Care Occ Fam Med CL (Westlake Village Urgent Care)
- Westlake Wellbeing Properties, LLC (California Health & Longevity Institute)
- Terry Leo Weyman, DC
Sources for this page
- 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.