Westlake Villa Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WESTLAKE VILLA HOSPICE, INC.

Practice address

1272 Center Court Dr Ste 206
Covina, CA 91724-3667

Phone

(805) 267-1093

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Michael Tadros

Title

Ceo

Phone

(805) 267-1093

Specialties & licenses 1

Addresses

Listed as

Westlake Villa Hospice, IncCCN A01654

Ownership

For-Profit

Certified

Nov 22, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1801309869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 CENTER COURT DR STE 206",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243667",
            "telephone_number": "805-267-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 CENTER COURT DR STE 206",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243667",
            "telephone_number": "805-267-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE VILLA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-267-1093"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Covina, CA
• Providers in Covina, 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 Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.