White Rose Group, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WHITE ROSE GROUP, LLC

Practice address

4131 N 24TH St Ste A116
Phoenix, AZ 85016-6262

Phone

(602) 796-9379

Fax

(602) 354-5802

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Cynthia Diane Shores Brooks

Title

Owner

Phone

(602) 354-7887

Specialties & licenses 1

Addresses

Other names 1

• White Rose Hospice Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Hospice certification: CCN 031694

Legal name

WHITE ROSE GROUP LLC

Doing business as

WHITE ROSE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 2, 2019

Last certification

Jul 2, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Nov 28, 2016 in AZ

Enrollment address

4131 N 24TH St
Ste A116
Phoenix, AZ 85016-6262

Listed as

White Rose HospiceCCN 031694

Ownership

For-Profit

Certified

Jul 2, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

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

• Radha A Ramamrutham, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Glendale, AZ
  • NPI 1508839937

  Contracted Managing Employee

  CMS ownership

Practitioners 1

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

• Radha A Ramamrutham, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Glendale, AZ
  • NPI 1508839937
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Abraham Joseph Sayegh, M.D.

  • Internal Medicine Physician
  • San Tan Valley, AZ
  • NPI 1033140744

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1245707595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N PATRICIA G CT",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531811",
            "telephone_number": "602-354-7887",
            "fax_number": "602-354-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 N 24TH ST STE A116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166262",
            "telephone_number": "602-796-9379",
            "fax_number": "602-354-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROSE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2022-07-19",
        "certification_date": "2022-01-16",
        "status": "A",
        "authorized_official_last_name": "SHORES BROOKS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-354-7887"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cindi@whiterosehospice.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4131 N 24th St Ste A116",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850166262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "White Rose Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Rose Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.

Verify at the official NPI Registry.