Organization Active NPI

Roger's Retirement Center, Inc.

Doing business as Rogers Home Care

  • Home Health Agency
  • South Euclid, OH
National Provider Identifier
1043244395
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROGER'S RETIREMENT CENTER, INC.
Doing business as
Rogers Home Care
Practice address
4276 Monticello Blvd
South Euclid, OH 44121-2815
Phone
(216) 851-1853
Fax
(216) 851-1865
NPI assigned
Jul 11, 2006
Last updated
Jul 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Ms. Valdia Burns, MBA
Title
Ceo
Phone
(216) 851-1853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

4276 Monticello Blvd
South Euclid, OH 44121-2815

Mailing address

4276 Monticello Blvd
South Euclid, OH 44121-2815
Phone (216) 851-1853

Other identifiers 2

IdentifierTypeStateIssuer
0069352MedicaidOH
2593886OtherOHMRDD

Other names 1

  • Rogers Home Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110103000876 OH Part A Provider - Home Health Agency 9436146529 Practice locations: Cleveland, OH; South Euclid, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043244395. Details of each certification follow.

Home health agency certification: CCN 368380

Legal name
ROGER'S RETIREMENT CENTER, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 22, 2011
Last certification
Jun 21, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 8, 1998 in OH
Enrollment address
966E 146TH St
Cleveland, OH 44110-3729

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rogers Home HealthCCN 368380 · All quality measures
Ownership
Proprietary
Certified
Sep 22, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

959 E 144th St
Cleveland, OH 44110
Phone (216) 851-1853

966 E 146th St
Cleveland, OH 44110
Phone (216) 851-1853

4272 Monticello Blvd
South Euclid, OH 44121
Phone (216) 273-7747

4276 Monticello Blvd
South Euclid, OH 44121
Phone (216) 273-7747

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Valdia McNeil-Burns Individual 5% Or Greater Direct Ownership Interest Nov 11, 2010 95%
Corporate DirectorCeo Jul 1, 2006 95%
Pamela Fletcher Individual Operational/Managerial Control May 1, 2022
Roger's Retirement Center, Inc. Organization, Cleveland, OH 5% Or Greater Direct Ownership Interest Aug 30, 2010

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1043244395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 MONTICELLO BLVD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212815",
            "telephone_number": "216-851-1853",
            "fax_number": "216-851-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 MONTICELLO BLVD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212815",
            "telephone_number": "216-851-1853",
            "fax_number": "216-851-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER'S RETIREMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "VALDIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-851-1853",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069352",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRDD",
            "identifier": "2593886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.