BLOOMING ROSE HOSPICE, INC.
NPI 1831715077
Home Health in Burbank, CA

Active since June 23, 2020CLIA 05D2271784 · Waiver
3089 N LIMA ST # C, BURBANK, CA 91504(818) 208-3066(818) 226-3246 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 26, 2022, Jun 23, 2020 (2 updates tracked since 2020).

  • Organization
  • Home Health
  • CLIA Number: 05D2271784
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 11-07-2026

About BLOOMING ROSE HOSPICE, INC.

This page provides the complete NPI Profile along with additional information for Blooming Rose Hospice, Inc., a provider established in Burbank, California operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1831715077 assigned on June 2020. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Arten Bagumyan (Ceo)

NPI
1831715077 Verify this NPI
Provider Name
BLOOMING ROSE HOSPICE, INC.
Entity Type
Organization
Location Address
3089 N LIMA ST # C BURBANK, CA 91504
Location Phone
(818) 208-3066
Location Fax
(818) 226-3246
Mailing Address
3089 N LIMA ST # C BURBANK, CA 91504
Mailing Phone
(818) 208-3066
Mailing Fax
(818) 226-3246
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2020
Last Update Date
04-26-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ARTEN BAGUMYAN

Authorized Official Title
CEO
Authorized Official Phone
(818) 208-3066

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2271784
Facility Type
Hospice
Certificate Effective Date
November 08, 2024
Certificate Expiration Date
November 07, 2026
Laboratory Director
JILIN BAI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blooming Rose Hospice, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831715077, enumerated as an "organization" on June 23, 2020.

The provider is located at 3089 N LIMA ST # C BURBANK, CA 91504 and the phone number is (818) 208-3066.

Home Health with taxonomy code 251E00000X.