Organization Active NPI

California Healthcare Management Group, Inc

  • Home Health Agency
  • Encino, CA
National Provider Identifier
1316368954
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CALIFORNIA HEALTHCARE MANAGEMENT GROUP, INC
Practice address
17337 Ventura Blvd Ste 202
Encino, CA 91316-4923
Phone
(818) 783-4427
Fax
(818) 906-9101
NPI assigned
Dec 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Authorized official

Name
Serge Rafes
Title
Ceo
Phone
(818) 783-4427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17337 Ventura Blvd Ste 202
Encino, CA 91316-4923

Mailing address

17337 Ventura Blvd Ste 202
Encino, CA 91316-4923
Phone (818) 783-4427

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140527000740 CA Part A Provider - Home Health Agency 4385867027 Practice locations: Encino, CA

Home health agency certification: CCN 059739

Legal name
CALIFORNIA HEALTHCARE MANAGEMENT GROUP, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 17, 2016
Last certification
Jun 5, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 12, 2013 in CA
Enrollment address
17337 Ventura Blvd
Ste 202
Encino, CA 91316-4923

Care Compare: Home health agency

Medicare Care Compare
Listed as
California Healthcare Management Group, IncCCN 059739 ยท All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 17, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

17337 Ventura Blvd
Ste 202
Encino, CA 91316
Phone (818) 783-4427

17003 Ventura Blvd
Ste 204
Encino, CA 91316
Phone (818) 783-4427

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kate Rafes Individual W-2 Managing EmployeeAdminstrator/DPCS Jan 2, 2014
Serge Rafes Individual 5% Or Greater Direct Ownership Interest Feb 13, 2019 100%
Corporate OfficerCeo/Cfo Feb 13, 2019 100%
Corporate DirectorCeo/Cfo Feb 13, 2019 100%
W-2 Managing EmployeeCeo/Cfo Feb 13, 2019 100%
Dmitry Uchitel Individual W-2 Managing EmployeeCompliance Officer Feb 13, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1388188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1316368954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD STE 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164923",
            "telephone_number": "818-783-4427",
            "fax_number": "818-906-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD STE 202",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164923",
            "telephone_number": "818-783-4427",
            "fax_number": "818-906-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HEALTHCARE MANAGEMENT GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-28",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "RAFES",
        "authorized_official_first_name": "SERGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-783-4427"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.