ROZE ROOM HOSPICE OF THE VALLEY INC NPI 1669474987

NPI Information

NPI: 1669474987
Provider Name: ROZE ROOM HOSPICE OF THE VALLEY INC

Doing Business As: ROZE ROOM HOSPICE OF THE VALLEY

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
18107 SHERMAN WAY
SUITE 200
RESEDA, CA
ZIP 91335
Phone: (818) 783-1002
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ROZE ROOM HOSPICE OF THE VALLEY INC is a hospice care community based in Reseda, CA. ROZE ROOM HOSPICE OF THE VALLEY INC NPI is 1669474987. The provider is registered as an organization entity type.
The provider Is Doing Business As Roze Room Hospice Of The Valley.

The provider's business location address is:

18107 SHERMAN WAY
SUITE 200
RESEDA, CA
ZIP 91335-582
Phone: (818) 783-1002
Fax: (818) 783-1066

The provider's authorized official is Lena Michelle Beker .
The authorized official title is Administrator and has the following contact phone number (818) 783-1002.

The CLIA number assigned to this NPI record is 05D1009527 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 11/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		980001512	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HPC01759F	MEDICAID	CALIFORNIA
2	05-1759	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE PROVIDER NUMBER
3	051759	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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