Organization Active NPI

Urban Hospice Care Inc

  • Community Based Hospice Care Agency
  • Los Angeles, CA
National Provider Identifier
1427399146
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
URBAN HOSPICE CARE INC
Practice address
2161 Colorado Blvd Ste 206
Los Angeles, CA 90041-1251
Phone
(323) 459-8756
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Authorized official

Name
Roselyn Rosario
Title
Ceo
Phone
(323) 459-8756

Specialties & licenses 1

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

Addresses

Primary practice location

2161 Colorado Blvd Ste 206
Los Angeles, CA 90041-1251

Mailing address

2161 Colorado Blvd Ste 206
Los Angeles, CA 90041-1251
Phone (323) 459-8756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130417000119 CA Part A Provider - Hospice 6103062252 Practice locations: Los Angeles, CA

Hospice certification: CCN 751778

Legal name
URBAN HOSPICE CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 13, 2016
Last certification
Mar 7, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 14, 2013 in CA
Enrollment address
2161 Colorado Blvd 206
Los Angeles, CA 90041-1251

Care Compare: Hospice

Medicare Care Compare
Listed as
Urban Hospice Care, IncCCN 751778
Ownership
For-Profit
Certified
Apr 13, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2161 Colorado Blvd
Ste 206
Los Angeles, CA 90041
Phone (323) 459-8756

Ownership & related parties

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.

NameRoleSinceShare
Roselyn T Rosario Individual 5% Or Greater Indirect Ownership Interest Feb 14, 2013 50%
Corporate OfficerCeo Feb 14, 2013 50%
Corporate DirectorBoard Member Feb 14, 2013 50%
W-2 Managing EmployeeCeo Feb 14, 2013 50%
Joel S Rosario Individual 5% Or Greater Direct Ownership Interest Feb 14, 2013 50%
Corporate OfficerBoard Member Feb 13, 2013 50%
Corporate DirectorBoard Member Feb 14, 2013 50%
W-2 Managing EmployeeBoard Member Feb 14, 2013 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1427399146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 COLORADO BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411251",
            "telephone_number": "323-459-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 COLORADO BLVD STE 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411251",
            "telephone_number": "323-459-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "ROSELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-459-8756"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.