Rose City Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ROSE CITY HOME HEALTH CARE INC

Practice address

10175 SW Barbur Blvd Ste 203B
Portland, OR 97219-5908

Phone

(614) 332-4598

Fax

(614) 818-4744

NPI assigned

Jul 19, 2012

Last updated

Aug 17, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ROSE CITY HOME HEALTH CARE INCAs reported in NPPES

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

Authorized official

Name

Khadija Ayado

Title

Cfo

Phone

(503) 207-8914

Specialties & licenses 1

Addresses

Other names 1

• Oregon Serenity Home Health, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548515133. Details of each certification follow.

• CCN 387318 Home health agency · Active · Details

Home health agency certification: CCN 387318

Legal name

ROSE CITY HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 26, 2025

Last certification

Jun 19, 2025

Organization structure

CorporationProprietary

Incorporated

Sep 9, 2020 in OR

Enrollment address

10175 SW Barbur Blvd
Ste 203B
Portland, OR 97219-5901

Listed as

Rose City Home Health Care, IncCCN 387318 · All quality measures

Ownership

-

Certified

Jun 26, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Rose City Home Health Care Inc

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": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1548515133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD SUITE 203 B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-207-8914",
            "fax_number": "503-245-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD STE 203B",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "614-332-4598",
            "fax_number": "614-818-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY HOME HEALTH CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSE CITY HOME HEALTH CARE INC",
        "enumeration_date": "2012-07-19",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "AYADO",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-207-8914"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Serenity Home Health, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rose City Dialysis, LLC (Fresenius Kidney Care Rose Quarter)
• Rose City Dialysis, LLC (Fresenius Kidney Care Piedmont)
• Rose City Dialysis, LLC (Fresenius Medical Care Scholls Ferry)
• Rose City Drug & Alcohol Detox Center of Portland LLC
• Rose City Health Clinic LLC
• Rose City House Calls LLC
• Rose City Internal Medicine PC
• Rose City Laboratories, LLC
• Rose City Medical LLC (Rose City Urgent Care and Family Practice)
• Rose City Park Acupuncture

• Home Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.