Rose Room Home Health Care,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ROSE ROOM HOME HEALTH CARE,INC.

Practice address

2777 Pacific Ave # K1
Long Beach, CA 90806-2625

Phone

(562) 676-4218

Fax

(562) 676-4219

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Margarita Grigoryan

Title

Ceo

Phone

(562) 336-1254

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757288

Legal name

ROSE ROOM HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 20, 2023

Last certification

Apr 20, 2023

Organization structure

CorporationProprietary

Enrollment address

939 S Atlantic Blvd
Ste 209B
Monterey Park, CA 91754-1064

Listed as

Rose Room Home Health Care, Inc.CCN 757288

Overall star rating

3.5 of 5

Ownership

-

Certified

Apr 20, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Ivory Home Health Care, Inc.CCN 559762

Ownership

-

Certified

Dec 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1295396752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE # K1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062625",
            "telephone_number": "562-676-4218",
            "fax_number": "562-676-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 PACIFIC AVE # K1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062625",
            "telephone_number": "562-676-4218",
            "fax_number": "562-676-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE ROOM HOME HEALTH CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-336-1254"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Garden
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• Rose Hanna Counseling Services
• Rose Hanna, LMFT
• Rose Park Healthcare Associates,Inc.
• Dianne Rose-Deyoung, RNP
• Bobby G. Rose, NURSE PRACTITIONER
• David R Rose, ARNP
• Lindsey Paige Rose, LCSW
• Mark Magnus Rose, MD

• Home Health Agency in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.