Active NPI
Vega Healthcare, Inc.
- Community Based Hospice Care Agency
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Bay
- Ownership
- For-Profit
- Certified
- May 17, 2012
- 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 |
|---|---|---|---|
| 05D2030880 | Vega Healthcare, Inc | Certificate of waiver | Oct 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Raisa Adler | 5% Or Greater Direct Ownership Interest | Jun 1, 2011 | 33.3% |
| Corporate Director | Jun 1, 2011 | 33.3% | |
| Semion a Beker | 5% Or Greater Direct Ownership Interest | Jun 1, 2011 | 33.3% |
| Corporate Director | Jun 1, 2011 | 33.3% | |
| Ana L Cartmel | Contracted Managing Employee | Aug 1, 2011 | |
| Lena Michelle Beker | 5% Or Greater Direct Ownership Interest | Jun 1, 2011 | 33.4% |
| Corporate Director | Jun 1, 2011 | 33.4% | |
| W-2 Managing Employee | 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.
-
- Family Medicine Physician
- Long Beach, CA
- NPI 1922052323
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Long Beach, CA
- NPI 1144506395
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1770043812
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; 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.