Organization Active NPI

Liberty Health Services, Inc.

Doing business as Roze Room Hospice of Ventura

  • Community Based Hospice Care Agency
  • Ventura, CA
National Provider Identifier
1023179876
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
550000185 Issued in CA
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
5675 Ralston St
Ste C
Ventura, CA 93003-6236

Care Compare: Hospice

Medicare Care Compare
Listed as
Roze Room Hospice of VenturaCCN 051795 · All quality measures
Ownership
For-Profit
Certified
Sep 14, 2006
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
05D1044801Roze Room Hospice of Ventura5675 Ralston St Suite C, Ventura, CA 93003Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Raisa Adler Individual 5% Or Greater Direct Ownership InterestTreasurer Apr 12, 2005 33.33%
Corporate Director Jul 8, 2005
Semion a Beker Individual 5% Or Greater Direct Ownership InterestSecretary Apr 12, 2005 33.33%
Corporate Director Jul 8, 2005
Ana L Cartmel Individual Contracted Managing EmployeeMedical Director Jun 14, 2006
Josefa Azcueta Individual W-2 Managing EmployeeAdministrator Dec 14, 2009
Lena Michelle Beker Individual 5% Or Greater Direct Ownership InterestPresident 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.

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

Verify at the official NPI Registry.