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

Q: What is Blooming Rose Hospice, Inc.'s NPI number?

The NPI number for Blooming Rose Hospice, Inc. is 1831715077. It was assigned to this organization in the NPPES registry on June 23, 2020.

Q: What is Blooming Rose Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

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: October 18, 2026.

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

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About Blooming Rose Hospice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOMING ROSE HOSPICE, INC. (NPI 1831715077) is a healthcare organization registered as a home health in Burbank, California and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through November 7, 2026 and lists Arten Bagumyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831715077

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameBLOOMING ROSE HOSPICE, INC.

Location Address3089 N LIMA ST # CBurbank, CA 91504-2013

Mailing Address3089 N Lima St # CBurbank, CA 91504-2013 · (818) 208-3066 · Fax (818) 226-3246

Phone(818) 208-3066

Fax(818) 226-3246

Organization SubpartNo

Authorized OfficialArten BagumyanCeo · (818) 208-3066

Enumeration DateJune 23, 2020

Last NPPES UpdateApril 26, 20222 updates tracked since enumeration

NPPES CertifiedApril 26, 2022

✔ NPI 1831715077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

Definition

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.

3089 N LIMA ST # C, Burbank, CA 91504

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blooming Rose Hospice, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20200930002399Part A · HospiceDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2271784

Blooming Rose Hospice, Inc · Burbank, CA

Active · expires Nov 7, 2026

CLIA Number05D2271784

Laboratory TypeHospice

Certificate Effective DateNovember 8, 2024

Certificate Expiration DateNovember 7, 2026

Laboratory DirectorJilin Bai

Laboratory Phone(818) 208-3066

Laboratory LocationBlooming Rose Hospice, Inc3089 N. Lima St. #c, Burbank, CA 91504

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blooming Rose Hospice, Inc.'s NPI number?

The NPI number for Blooming Rose Hospice, Inc. is 1831715077. It was assigned to this organization in the NPPES registry on June 23, 2020.

Where is Blooming Rose Hospice, Inc. located?

Blooming Rose Hospice, Inc. is located at 3089 N Lima St # C, Burbank, CA 91504. The listed phone number is (818) 208-3066.

What is Blooming Rose Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Blooming Rose Hospice, Inc. enrolled in Medicare?

Yes. Blooming Rose Hospice, Inc. is registered in the Medicare PECOS enrollment system.

When is Blooming Rose Hospice, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Hospice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Blooming Rose Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2271784) is associated with this NPI, valid through November 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blooming Rose Hospice, Inc. was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.