Active NPI
California Healthcare Management Group, Inc
- Home Health Agency
- Encino, CA
National Provider Identifier
1316368954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 17, 2016
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kate Rafes | W-2 Managing Employee | Jan 2, 2014 | |
| Serge Rafes | 5% Or Greater Direct Ownership Interest | Feb 13, 2019 | 100% |
| Corporate Officer | Feb 13, 2019 | 100% | |
| Corporate Director | Feb 13, 2019 | 100% | |
| W-2 Managing Employee | Feb 13, 2019 | 100% | |
| Dmitry Uchitel | W-2 Managing Employee | Feb 13, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
- West Hollywood, CA
- NPI 1922208982
Home health agency
-
- Obstetrics & Gynecology Physician
- South Gate, CA
- NPI 1881894715
Home health agency
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.