White Rose Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WHITE ROSE HOME HEALTH, INC.

Practice address

7012 Reseda Blvd Ste 201B
Reseda, CA 91335-4219

Phone

(818) 654-6148

Fax

(818) 936-0980

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Vahik Ovasapyan

Title

Owner, Ceo, Cfo, Secretary

Phone

(818) 654-6148

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757246

Legal name

WHITE ROSE HOME HEALTH INC

Doing business as

WHITE ROSE HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 14, 2023

Last certification

Apr 6, 2023

Organization structure

CorporationProprietary

Incorporated

Dec 22, 2020 in CA

Enrollment address

7012 Reseda Blvd
Ste 201B
Reseda, CA 91335-4219

Listed as

White Rose Home Health, Inc.CCN 757246

Ownership

-

Certified

Apr 14, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1700461977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD STE 201B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "818-654-6148",
            "fax_number": "818-936-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD STE 201B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "818-654-6148",
            "fax_number": "818-936-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE ROSE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "OVASAPYAN",
        "authorized_official_first_name": "VAHIK",
        "authorized_official_title_or_position": "OWNER, CEO, CFO, SECRETARY",
        "authorized_official_telephone_number": "818-654-6148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Reseda, CA
• Providers in Reseda, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.