Blooming Rose Hospice, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLOOMING ROSE HOSPICE, INC.

Practice address

3089 N Lima St # C
Burbank, CA 91504-2013

Phone

(818) 208-3066

Fax

(818) 226-3246

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Arten Bagumyan

Title

Ceo

Phone

(818) 208-3066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B21573

Legal name

BLOOMING ROSE HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 16, 2021

Last certification

Jun 16, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 23, 2020 in CA

Enrollment address

3089 N Lima St
# C
Burbank, CA 91504-2013

Listed as

Blooming Rose Hospice, Inc.CCN B21573

Ownership

For-Profit

Certified

Jun 16, 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 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zhengle Xu, DO

  • Student in an Organized Health Care Education/Training Program
  • Loma Linda, CA
  • NPI 1730932310
  NPD

Affiliated clinicians 2

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

• Jilin Bai, M.D.

  • General Practice Physician
  • Monterey Park, CA
  • NPI 1003102856

  Hospice

  Care Compare affiliation
• Michael A Silao, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1497706147

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1831715077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 N LIMA ST # C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042013",
            "telephone_number": "818-208-3066",
            "fax_number": "818-226-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 N LIMA ST # C",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042013",
            "telephone_number": "818-208-3066",
            "fax_number": "818-226-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING ROSE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "BAGUMYAN",
        "authorized_official_first_name": "ARTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-208-3066",
        "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 Burbank, CA
• Providers in Burbank, 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 Apr 26, 2022; 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.