Organization Active NPI

Rosa Blue Home Health . LLC

  • Home Health Agency
  • Commerce, CA
National Provider Identifier
1407449127
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROSA BLUE HOME HEALTH . LLC
Practice address
6400 E Washington Blvd.
107A
Commerce, CA 90040
Phone
(661) 313-9592
NPI assigned
Feb 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Authorized official

Name
Adwoa Serwa Osei Nyarko
Title
Administrator
Phone
(805) 587-0957

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X
Dialysis Equipment & Supplies (DME) 332BD1200X

Addresses

Primary practice location

6400 E Washington Blvd.
107A
Commerce, CA 90040

Mailing address

6400 E Washington Blvd.
107A
Commerce, CA 90040
Phone (661) 313-9592

National Provider Directory

National Provider Directory

Locations

6400 E Washington Blvd
#107A
Commerce, CA 90040
Phone (661) 313-9592

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613174400000",
    "number": "1407449127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E WASHINGTON BLVD.",
            "address_2": "107A",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "90040",
            "telephone_number": "661-313-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E WASHINGTON BLVD.",
            "address_2": "107A",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "90040",
            "telephone_number": "661-313-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA BLUE HOME HEALTH . LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A",
        "authorized_official_last_name": "OSEI NYARKO",
        "authorized_official_first_name": "ADWOA SERWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-587-0957"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.