Organization Active NPI

L & a Care Corporation

Doing business as Roze Room Hospice

  • Community Based Hospice Care Agency
  • Culver City, CA
National Provider Identifier
1750383071
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
980001186 Issued in CA
Legal business name
L & A CARE CORPORATION
Doing business as
Roze Room Hospice
Practice address
5000 Overland Ave
Suite 101
Culver City, CA 90230-4995
Phone
(310) 202-7693
Fax
(310) 841-2308
NPI assigned
Jun 1, 2005
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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
(310) 202-7693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 980001186 CA Primary

Addresses

Primary practice location

5000 Overland Ave
Suite 101
Culver City, CA 90230-4995

Mailing address

5000 Overland Ave
Suite 101
Culver City, CA 90230-4995
Phone (310) 202-7693

Other identifiers 1

IdentifierTypeStateIssuer
HPC01719FMedicaidCA

Other names 1

  • ROZE ROOM HOSPICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030115000030 CA Part A Provider - Hospice 8527976349 Practice locations: Culver City, CA
O20110413000816 CA Part B Supplier - Clinic/Group Practice 8527976349 Receives reassigned benefits from 1 practitioner
Practice locations: Culver City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750383071. Details of each certification follow.

Hospice certification: CCN 051719

Legal name
L & A CARE CORPORATION
Doing business as
ROZE ROOM HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 26, 1998
Last certification
Jan 22, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 14, 1997 in CA
Enrollment address
5000 Overland Ave
Ste 101
Culver City, CA 90230-4969

Care Compare: Hospice

Medicare Care Compare
Listed as
Roze Room HospiceCCN 051719 · All quality measures
Ownership
For-Profit
Certified
Jun 26, 1998
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0948741Roze Room Hospice5000 Overland Ave Ste 101, Culver City, CA 90230Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory

Locations

5000 Overland Ave
Ste 101
Culver City, CA 90230
Phone (310) 202-7693

5455 Wilshire Blvd
Ste 716
Los Angeles, CA 90036
Phone (213) 938-9502

5455 Wilshire Blvd
Ste 810
Los Angeles, CA 90036
Phone (323) 938-1155

Ownership & related parties

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.

NameRoleSinceShare
Raisa Adler Individual W-2 Managing EmployeeFinance Manager Oct 3, 2011
Semion a Beker Individual W-2 Managing EmployeeSecurity Manaager Oct 3, 2011
Ana L Cartmel Individual Contracted Managing EmployeeMedical Director Jun 1, 2002
Josefa Azcueta Individual Operational/Managerial ControlAdministrator Feb 1, 2024
Lena Michelle Beker Individual 5% Or Greater Direct Ownership InterestCeo Jul 14, 1997 100%
Corporate OfficerCeo Oct 3, 2011
Corporate DirectorCeo Jan 30, 2003

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 6

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

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1750383071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 OVERLAND AVE",
            "address_2": "SUITE 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304995",
            "telephone_number": "310-202-7693",
            "fax_number": "310-841-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 OVERLAND AVE",
            "address_2": "SUITE 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304995",
            "telephone_number": "310-202-7693",
            "fax_number": "310-841-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L & A CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2012-10-02",
        "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": "310-202-7693",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "CA",
            "license": "980001186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01719F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROZE ROOM HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.