Active NPI
Liberty Health Services, Inc.
Doing business as Roze Room Hospice of Ventura
- Community Based Hospice Care Agency
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 550000185
- Legal business name
- LIBERTY HEALTH SERVICES, INC.
- Doing business as
- Roze Room Hospice of Ventura
- Practice address
- 5675 Ralston St
Suite 'C'
Ventura, CA 93003-6005 - Phone
- (805) 654-0191
- Fax
- (805) 654-0103
- NPI assigned
- Dec 13, 2006
- Last updated
- Jan 11, 2024
- 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
- Lena Beker
- Title
- Chief Executive Officer
- Phone
- (323) 938-1155
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 550000185 | CA | Primary |
| Community Based Hospice Care Agency | 251G00000X | NU |
Addresses
Primary practice location
5675 Ralston St
Suite 'C'
Ventura, CA 93003-6005
Mailing address
5675 Ralston St Ste C
Ventura, CA 93003-6236
Phone (323) 938-1155
Other names 1
- ROZE ROOM HOSPICE OF VENTURA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050627001289 | CA | Part A Provider - Hospice | 5395780688 | Practice locations: Ventura, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1023179876. Details of each certification follow.
Hospice certification: CCN 051795
- Legal name
- LIBERTY HEALTH SERVICES, INC.
- Doing business as
- ROZE ROOM HOSPICE OF VENTURA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 14, 2006
- Last certification
- Jan 21, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Enrollment address
- 5675 Ralston St
Ste C
Ventura, CA 93003-6236
Care Compare: Hospice
Medicare Care Compare- Listed as
- Roze Room Hospice of Ventura
- Ownership
- For-Profit
- Certified
- Sep 14, 2006
- 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 |
|---|---|---|---|
| 05D1044801 | Roze Room Hospice of Ventura | Certificate of waiver | Aug 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
5675 Ralston St
Ste C
Ventura, CA 93003
Phone (805) 654-0191
5700 Ralston St
Ste 204
Ventura, CA 93003
Phone (805) 654-0191
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 |
|---|---|---|---|
| Raisa Adler | 5% Or Greater Direct Ownership Interest | Apr 12, 2005 | 33.33% |
| Corporate Director | Jul 8, 2005 | ||
| Semion a Beker | 5% Or Greater Direct Ownership Interest | Apr 12, 2005 | 33.33% |
| Corporate Director | Jul 8, 2005 | ||
| Ana L Cartmel | Contracted Managing Employee | Jun 14, 2006 | |
| Josefa Azcueta | W-2 Managing Employee | Dec 14, 2009 | |
| Lena Michelle Beker | 5% Or Greater Direct Ownership Interest | Apr 12, 2005 | 33.34% |
| Corporate Director | Jul 8, 2005 | ||
| W-2 Managing Employee | Apr 12, 2005 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1922052323
Contracted Managing Employee
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": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704931200000",
"number": "1023179876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5675 RALSTON ST STE C",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036236",
"telephone_number": "323-938-1155",
"fax_number": "323-936-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5675 RALSTON ST",
"address_2": "SUITE 'C'",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036005",
"telephone_number": "805-654-0191",
"fax_number": "805-654-0103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A",
"authorized_official_last_name": "BEKER",
"authorized_official_first_name": "LENA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "323-938-1155"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "CA",
"license": "550000185",
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ROZE ROOM HOSPICE OF VENTURA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.