Organization Active NPI

Vega Healthcare, Inc.

  • Community Based Hospice Care Agency
  • Long Beach, CA
National Provider Identifier
1134413495
Registry record updated Jun 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VEGA HEALTHCARE, INC.
Practice address
4510 E Pacific Coast Hwy
Suite 320
Long Beach, CA 90804-3279
Phone
(562) 597-8273
NPI assigned
Jun 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2011

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

Authorized official

Name
Lena Beker
Title
President
Phone
(562) 597-8273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4510 E Pacific Coast Hwy
Suite 320
Long Beach, CA 90804-3279

Mailing address

4510 E Pacific Coast Hwy
Suite 320
Long Beach, CA 90804-3279
Phone (562) 597-8273

Other names 1

  • ROZE ROOM HOSPICE OF SOUTH BAY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110707000650 CA Part A Provider - Hospice 4587842976 Practice locations: Long Beach, CA

Hospice certification: CCN 551649

Legal name
VEGA HEALTHCARE, INC.
Doing business as
ROZE ROOM HOSPICE OF SOUTH BAY
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 17, 2012
Last certification
Jan 22, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 20, 2011 in CA
Enrollment address
4510E Pacific Coast Hwy 320
Long Beach, CA 90804-6926

Care Compare: Hospice

Medicare Care Compare
Listed as
Roze Room Hospice of South BayCCN 551649
Ownership
For-Profit
Certified
May 17, 2012
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
05D2030880Vega Healthcare, Inc4510 E Pacific Coast Highway Ste 320, Long Beach, CA 90804Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

4510 E Pacific Coast Hwy
Ste 320
Long Beach, CA 90804
Phone (213) 358-8215

Ownership & related parties

All disclosed owners & managing parties 4

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 Jun 1, 2011 33.3%
Corporate DirectorTreasurer Jun 1, 2011 33.3%
Semion a Beker Individual 5% Or Greater Direct Ownership InterestSecretary Jun 1, 2011 33.3%
Corporate DirectorSecretary Jun 1, 2011 33.3%
Ana L Cartmel Individual Contracted Managing EmployeeMedical Director Aug 1, 2011
Lena Michelle Beker Individual 5% Or Greater Direct Ownership InterestPresident Jun 1, 2011 33.4%
Corporate DirectorPresident Jun 1, 2011 33.4%
W-2 Managing EmployeeAdministrator Jun 1, 2011

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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": "1307145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307145600000",
    "number": "1134413495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY",
            "address_2": "SUITE 320",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043279",
            "telephone_number": "562-597-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY",
            "address_2": "SUITE 320",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043279",
            "telephone_number": "562-597-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-04",
        "last_updated": "2011-06-04",
        "status": "A",
        "authorized_official_last_name": "BEKER",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-597-8273"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROZE ROOM HOSPICE OF SOUTH BAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.