Well Care Hospice & Palliative Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WELL CARE HOSPICE & PALLIATIVE CARE INC

Practice address

14545 Friar St Ste 263
Van Nuys, CA 91411-2397

Phone

(818) 285-8803

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Luiza Hekimyan

Title

Ceo

Phone

(818) 285-8803

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B41743

Legal name

WELL CARE HOSPICE & PALLIATIVE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 21, 2022

Last certification

Jun 10, 2022

Organization structure

CorporationProprietary

Incorporated

Nov 2, 2020 in CA

Enrollment address

300 N 3Rd St
Ste 348
Burbank, CA 91502-1107

Listed as

Well Care Hospice & Palliative Care, Inc.CCN B41743 · All quality measures

Certified

Jun 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1750984332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 263",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-285-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 263",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "818-285-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE HOSPICE & PALLIATIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "HEKIMYAN",
        "authorized_official_first_name": "LUIZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-285-8803"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Ernest Weidmann, M.D.
• Jason Weingarten
• Barry Weiss, PT
• Well Care Congregate Living Health Facility, Inc
• Well Care Home Health Care Inc
• Well Health Medical Clinic Inc
• Lisa Welland
• Wellness Congregated Living Facility
• Wellnest Home Health Inc
• Wellpath Wound Care

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, 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 May 22, 2023; 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.