Provider Demographics
NPI:1144837386
Name:WELBY WAY HOME LLC
Entity type:Organization
Organization Name:WELBY WAY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAISY MAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANG
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:747-244-5487
Mailing Address - Street 1:21550 OXNARD ST.
Mailing Address - Street 2:3RD FLOOR SUITE # 57
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367
Mailing Address - Country:US
Mailing Address - Phone:818-579-3061
Mailing Address - Fax:
Practice Address - Street 1:6912 OWENSMOUTH AVE # 218
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-2040
Practice Address - Country:US
Practice Address - Phone:310-614-3640
Practice Address - Fax:310-362-8743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-30
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based