Roze Room Hospice of the Valley Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

980001512 Issued in CA

Legal business name

ROZE ROOM HOSPICE OF THE VALLEY INC

Doing business as

Roze Room Hospice of the Valley

Practice address

18107 Sherman Way
Suite 200
Reseda, CA 91335-4582

Phone

(818) 783-1002

Fax

(818) 783-1066

NPI assigned

Jun 1, 2005

Last updated

Nov 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lena Michelle Beker

Title

Administrator

Phone

(818) 783-1002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ROZE ROOM HOSPICE OF THE VALLEY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669474987. Details of each certification follow.

• CCN 051759 Hospice · Active · Details

Hospice certification: CCN 051759

Legal name

ROZE ROOM HOSPICE OF THE VALLEY INC

Doing business as

ROZE ROOM HOSPICE OF THE VALLEY

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 24, 2003

Last certification

Jan 22, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 25, 2002 in CA

Enrollment address

18107 Sherman Way
Ste 200
Reseda, CA 91335-8802

Listed as

Roze Room Hospice of the ValleyCCN 051759 · All quality measures

Ownership

For-Profit

Certified

Apr 24, 2003

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

Locations

All disclosed owners & managing parties 5

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.

• Ana Luiza Cartmel, D.O.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1922052323

  Contracted Managing Employee

  CMS ownership

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodolfo Alvarado, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Reseda, CA
  • NPI 1790248276
  NPD (past)
• Kimberly Anne Bautista VII, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Torrance, CA
  • NPI 1730339086
  NPD (past)
• Tanya Hamidi, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1740416445
  NPD (past)
• Clinton Jones, D.C.

  • Chiropractor
  • Reseda, CA
  • NPI 1831150176
  NPD (past)
• Rosielee Artemese Jones, D.C.

  • Chiropractor
  • Lake Balboa, CA
  • NPI 1942261284
  NPD (past)
• Jiyeon Kim, NURSE PRACTITIONER

  • Nurse Practitioner
  • Reseda, CA
  • NPI 1043780216

  Sleep Medicine

  NPD (past)
• Renita Jejuan Pullens, D.O.

  • General Practice Physician
  • Sherman Oaks, CA
  • NPI 1093791667
  NPD (past)
• Poy Sakjirapapong Yamada, NP

  • Family Nurse Practitioner
  • Reseda, CA
  • NPI 1346843935

  Single Specialty

  NPD (past)

Affiliated clinicians 2

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

• Donna Marie Cashdan, DO

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1417957135

  Hospice

  Care Compare affiliation
• Lee S Rosen, M.D.

  • Specialist
  • Santa Monica, CA
  • NPI 1346295870

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479513600000",
    "number": "1669474987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18107 SHERMAN WAY",
            "address_2": "SUITE 200",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354582",
            "telephone_number": "818-783-1002",
            "fax_number": "818-783-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18107 SHERMAN WAY",
            "address_2": "SUITE 200",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354582",
            "telephone_number": "818-783-1002",
            "fax_number": "818-783-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROZE ROOM HOSPICE OF THE VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-11-19",
        "status": "A",
        "authorized_official_last_name": "BEKER",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-783-1002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980001512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01759F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROZE ROOM HOSPICE OF THE VALLEY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Reseda, CA
• Providers in Reseda, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; 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.