Organization Active NPI

Western Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Woodland Hills, CA
National Provider Identifier
1215218896
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WESTERN PALLIATIVE CARE, INC.
Practice address
21860 Burbank Blvd Ste 180-B
Woodland Hills, CA 91367-6477
Phone
(818) 888-8451
Fax
(818) 914-4298
NPI assigned
Sep 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Ms. Maria Cynthia R Puno
Title
President
Phone
(818) 804-1258

Specialties & licenses 1

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

Addresses

Primary practice location

21860 Burbank Blvd Ste 180-B
Woodland Hills, CA 91367-6477

Mailing address

21860 Burbank Blvd Ste 180-B
Woodland Hills, CA 91367-6477
Phone (818) 888-8451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170424002040 CA Part A Provider - Hospice 4385920537 Practice locations: Woodland Hills, CA

Hospice certification: CCN A11534

Legal name
WESTERN PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 5, 2020
Last certification
May 5, 2020
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Incorporated
Jun 13, 2010 in CA
Enrollment address
21860 Burbank Blvd
Ste 180B
Woodland Hills, CA 91367-6477

Care Compare: Hospice

Medicare Care Compare
Listed as
Western Palliative Care, IncCCN A11534
Ownership
For-Profit
Certified
May 5, 2020
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
05D2191039Western Palliative Care, Inc.21860 Burbank Blvd Suite 180B, Woodland Hills, CA 91367Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory

Locations

21860 Burbank Blvd
Ste 180B
Woodland Hills, CA 91367
Phone (818) 888-8451

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Maria Cynthia R Puno Individual 5% Or Greater Direct Ownership InterestPresident/Ceo Aug 5, 2011 100%
Corporate OfficerCeo, President Aug 5, 2011 100%
Corporate DirectorPresident Aug 5, 2011 100%
W-2 Managing EmployeePresident/Ceo Sep 9, 2016 100%
Rolando M Rodriguez Individual W-2 Managing EmployeeDirector of Patient Care Service Sep 9, 2016

NPI Registry JSON

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1215218896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21860 BURBANK BLVD STE 180-B",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676477",
            "telephone_number": "818-888-8451",
            "fax_number": "818-914-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21860 BURBANK BLVD STE 180-B",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676477",
            "telephone_number": "818-888-8451",
            "fax_number": "818-914-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "PUNO",
        "authorized_official_first_name": "MARIA CYNTHIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-804-1258",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.