Organization Active NPI

Rose City Health, Inc

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1932829686
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ROSE CITY HEALTH, INC
Practice address
573 S Lake Ave Ste 6
Pasadena, CA 91101-3593
Phone
(626) 655-8427
Fax
(626) 655-8427
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Edwin Amirian
Title
Ceo
Phone
(626) 655-8427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

573 S Lake Ave Ste 6
Pasadena, CA 91101-3593

Mailing address

573 S Lake Ave Ste 6
Pasadena, CA 91101-3593
Phone (626) 655-8427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230703001691 CA Part A Provider - Home Health Agency 9133588536 Practice locations: Pasadena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932829686. Details of each certification follow.

Home health agency certification: CCN 757785

Legal name
ROSE CITY HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 15, 2024
Last certification
Oct 2, 2024
Organization structure
CorporationProprietary
Incorporated
Apr 7, 2021 in CA
Enrollment address
573 S Lake Ave
Ste 6
Pasadena, CA 91101-3593

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rose City Health, IncCCN 757785 · All quality measures
Ownership
-
Certified
Oct 15, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

573 S Lake Ave
Ste 6
Pasadena, CA 91101
Phone (626) 655-8427

Ownership & related parties

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.

NameRoleSinceShare
Edwin Amirian Individual 5% Or Greater Direct Ownership Interest Feb 10, 2023 100%
Corporate OfficerCeo,Cfo,Secretary Feb 10, 2023 100%
Corporate DirectorCeo,Cfo,Secretary Feb 10, 2023 100%
W-2 Managing EmployeeCeo,Cfo,Secretary Feb 10, 2023 100%

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1932829686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 S LAKE AVE STE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013593",
            "telephone_number": "626-655-8427",
            "fax_number": "626-655-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 S LAKE AVE STE 6",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013593",
            "telephone_number": "626-655-8427",
            "fax_number": "626-655-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "AMIRIAN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-655-8427"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.