Juno Healthcare Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JUNO HEALTHCARE INC

Doing business as

Roze Room Healthcare

Practice address

621 Carnegie Dr Ste 190
San Bernardino, CA 92408-3511

Phone

(877) 783-0072

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Semion Beker

Title

Corporate Secretary

Phone

(877) 783-0072

Specialties & licenses 1

Addresses

Other names 1

• ROZE ROOM HEALTHCARE 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 1699382267. Details of each certification follow.

• CCN B21754 Hospice · Active · Details

Hospice certification: CCN B21754

Legal name

JUNO HEALTHCARE INC

Doing business as

ROZE ROOM HEALTHCARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 14, 2021

Last certification

Oct 14, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jan 30, 2020 in CA

Enrollment address

621 Carnegie Dr
Ste 190
San Bernardino, CA 92408-3511

Listed as

Roze Room HealthcareCCN B21754 · All quality measures

Ownership

For-Profit

Certified

Oct 14, 2021

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

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1699382267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR STE 190",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083511",
            "telephone_number": "877-783-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR STE 190",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083511",
            "telephone_number": "877-783-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNO HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "BEKER",
        "authorized_official_first_name": "SEMION",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "877-783-0072",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROZE ROOM HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Magdalena Juarez Escudero
• Eric Daniel Juarez
• Jessica Juarez
• Jung and 3Kims Dental Group
• Jeeyoon Jung
• Keerthana Jyotheeswara Pillai
• Victoria Kachaturian, RN
• Amie Dofinihan Kadeba
• Aleksandra Kahler
• Kaiser Foundation Health Plan Inc

• Community Based Hospice Care Agency in San Bernardino, CA
• Providers in San Bernardino, 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 Sep 28, 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.