Organization Active NPI

Royz, Inc.

Doing business as Roze Room Hospice of San Gabriel Valley

  • Community Based Hospice Care Agency
  • Pasadena, CA
National Provider Identifier
1205134343
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ROYZ, INC.
Doing business as
Roze Room Hospice of San Gabriel Valley
Practice address
2700 E Foothill Blvd Ste 200
Pasadena, CA 91107-3443
Phone
(626) 446-7673
Fax
(626) 446-7676
NPI assigned
Mar 12, 2011
Last updated
Aug 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Lena Beker
Title
President
Phone
(626) 446-7673

Specialties & licenses 1

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

Addresses

Primary practice location

2700 E Foothill Blvd Ste 200
Pasadena, CA 91107-3443

Mailing address

2700 E Foothill Blvd Ste 200
Pasadena, CA 91107-3443
Phone (626) 446-7673

Other names 2

  • Roze Room Hospice of San Gabriel Valley Doing business as
  • Roze Room Palliative Care Services Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405000044 CA Part A Provider - Hospice 4082898796 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205134343. Details of each certification follow.

Hospice certification: CCN 551645

Legal name
ROYZ, INC.
Doing business as
ROZE ROOM HOSPICE OF SAN GABRIEL VALLEY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 19, 2012
Last certification
Jan 22, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jan 20, 2011 in CA
Enrollment address
2700 E Foothill Blvd
Ste 200
Pasadena, CA 91107-3443

Care Compare: Hospice

Medicare Care Compare
Listed as
Roze Room Hospice of San Gabriel ValleyCCN 551645 · All quality measures
Ownership
For-Profit
Certified
Apr 19, 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
05D2030500Royz, Inc2700 E Foothill Blvd, Ste 200, Pasadena, CA 91107Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

55 E Huntington Dr
Ste 238
Arcadia, CA 91006
Phone (626) 446-7673

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 Interest Mar 17, 2011 33.3%
Corporate OfficerTreasurer Mar 17, 2011 33.3%
Corporate DirectorTreasurer Mar 17, 2011 33.3%
Semion a Beker Individual 5% Or Greater Direct Ownership Interest Mar 17, 2011 33.3%
Corporate OfficerSecretary Mar 17, 2011 33.3%
Corporate DirectorSecretary Mar 17, 2011 33.3%
Ana L Cartmel Individual Contracted Managing EmployeeMedical Director Aug 1, 2011
Lena Michelle Beker Individual 5% Or Greater Direct Ownership Interest Mar 17, 2011 33.4%
Corporate OfficerPresident Mar 17, 2011 33.4%
Corporate DirectorPresident Mar 17, 2011 33.4%
W-2 Managing EmployeePresident Mar 17, 2011 33.4%
Lorraine Borden Individual W-2 Managing EmployeeAdministrator Feb 15, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1299888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1205134343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073443",
            "telephone_number": "626-446-7673",
            "fax_number": "626-446-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E FOOTHILL BLVD STE 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073443",
            "telephone_number": "626-446-7673",
            "fax_number": "626-446-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-12",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "BEKER",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-446-7673"
    },
    "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 San Gabriel Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roze Room Hospice of San Gabriel Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roze Room Palliative Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.