Rose'S Agency Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ROSE'S AGENCY HOME CARE

Practice address

585 S. Fairfax Ave.
Los Angeles, CA 90036

Phone

(323) 937-3022

Fax

(323) 937-7167

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gary Peskiin

Title

Ceo

Phone

(323) 937-3022

Specialties & licenses 3

Addresses

Other names 1

• The Gary Group & Rose's Temp Former legal business name

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1093074833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 S. FAIRFAX AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "323-937-3022",
            "fax_number": "323-937-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 S. FAIRFAX AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "323-937-3022",
            "fax_number": "323-937-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE'S AGENCY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "PESKIIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-937-3022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gary Group & Rose's Temp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Raphael D. Rose, PH.D.
• Shira Rachel Rose
• Thomas A Rose, OD
• Victoria Rose
• Victoria J Rose II, M.A.
• Rose'S Temp
• Jasmin R. Roseland, LCSW
• Kimberly Roseland, OTR/L
• Benjamin David Rosellini, MD
• Elenita Manaran Rosello, R.N.

• In Home Supportive Care Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.