Organization Active NPI

Rinaldi Home Health Care, Inc.

  • Home Health Agency
  • San Fernando, CA
National Provider Identifier
1306034541
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
PENDING Issued in CA
Legal business name
RINALDI HOME HEALTH CARE, INC.
Practice address
11565 Laurel Canyon Blvd
Suite 207
San Fernando, CA 91340-4168
Phone
(818) 898-1100
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Mrs. Gayane Badoyan
Title
President
Phone
(818) 898-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X PENDING CA Primary

Addresses

Primary practice location

11565 Laurel Canyon Blvd
Suite 207
San Fernando, CA 91340-4168

Mailing address

11565 Laurel Canyon Blvd
Suite 207
San Fernando, CA 91340-4168
Phone (818) 898-1100

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071109000550 CA Part A Provider - Home Health Agency 2961590872 Practice locations: San Fernando, CA

Home health agency certification: CCN 059306

Legal name
RINALDI HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 22, 2011
Last certification
Jan 16, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 10, 2007 in CA
Enrollment address
11565 Laurel Canyon Blvd
Ste 207
San Fernando, CA 91340-4651

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rinaldi Home Health Care, IncCCN 059306
Ownership
Proprietary
Certified
May 22, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2019018Rinaldi Home Health Care, Inc11565 Laurel Canyon Blvd Ste 207, San Fernando, CA 91340Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Locations

11565 Laurel Canyon Blvd
Ste 207
San Fernando, CA 91340
Phone (818) 898-1100

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
Gayane Badoyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 29, 2007 100%
Corporate DirectorDirector of Nursing Dec 15, 2014
W-2 Managing EmployeeDopcs/Admin Dec 15, 2014

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1306034541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD",
            "address_2": "SUITE 207",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404168",
            "telephone_number": "818-898-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 LAUREL CANYON BLVD",
            "address_2": "SUITE 207",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404168",
            "telephone_number": "818-898-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINALDI HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "BADOYAN",
        "authorized_official_first_name": "GAYANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-898-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.