Rose Desert Hospice

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

ROSE DESERT HOSPICE

Practice address

42156 10TH St W Ste 106
Lancaster, CA 93534-7025

Phone

(818) 697-3356

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Elina Farmanova

Title

Owner

Phone

(818) 697-3356

Specialties & licenses 1

Addresses

Other names 1

• Rose Desert Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN D61531

Legal name

ROSE DESERT HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 14, 2024

Last certification

Jan 24, 2024

Organization structure

CorporationProprietary

Enrollment address

42156 10TH St W
Ste 106
Lancaster, CA 93534-7025

Listed as

Rose Desert HospiceCCN D61531

Certified

Feb 14, 2024

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.

Owners & managing parties with NPI records 1

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

• Pooya Mobasseri, D.O.

  • Family Medicine Physician
  • Westlake Village, CA
  • NPI 1356670657

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1639704604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42156 10TH ST W STE 106",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42156 10TH ST W STE 106",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347025",
            "telephone_number": "818-697-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE DESERT HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "FARMANOVA",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-697-3356"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose Desert Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariana Rosales, RN
• Marlenne Rosales, LCSW
• Nora V Rosales, BCBA
• Nancy Celina Rosas
• Rose Desert Congregate Care Inc.
• Dana L. Rose
• Keenan Rose
• Jodi Lynn Rosen, RN, IBCLC
• Marie Katherine Rosenberg
• Nkeya Ross-McKinney

• Hospice and Palliative Medicine (Family Medicine) Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.