Active NPI
Rinaldi Senior Care Inc
- Home Health Agency
- San Fernando, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RINALDI SENIOR CARE INC
- Practice address
- 11565 Laurel Canyon Blvd Ste 200
San Fernando, CA 91340-4651 - Phone
- (818) 722-3404
- Fax
- (818) 722-3409
- NPI assigned
- Jul 24, 2020
- 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
- Inga Galadzhyan
- Title
- President/Secretary/Treasurer
- Phone
- (818) 722-3404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
11565 Laurel Canyon Blvd Ste 200
San Fernando, CA 91340-4651
Mailing address
11565 Laurel Canyon Blvd Ste 200
San Fernando, CA 91340-4651
Phone (818) 722-3404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211014003036 | CA | Part A Provider - Home Health Agency | 7214335652 | Practice locations: San Fernando, CA |
Home health agency certification: CCN 757160
- Legal name
- RINALDI SENIOR CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 22, 2023
- Last certification
- Jan 10, 2023
- Organization structure
- Corporation
- Incorporated
- May 17, 2019 in CA
- Enrollment address
- 11565 Laurel Canyon Blvd
Ste 200
San Fernando, CA 91340-4651
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Rinaldi Senior Care, Inc
- Overall star rating
- Ownership
- -
- Certified
- Jan 22, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2319953 | Rinaldi Senior Care Inc | Certificate of waiver | Mar 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
11565 Laurel Canyon Blvd
Ste 200
San Fernando, CA 91340
Phone (818) 722-3404
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Inga Galadzhyan | 5% Or Greater Direct Ownership Interest | May 17, 2019 | |
| Corporate Director | May 17, 2019 | 100% | |
| W-2 Managing Employee | May 17, 2019 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1595548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595548800000",
"number": "1356950455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11565 LAUREL CANYON BLVD STE 200",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404651",
"telephone_number": "818-722-3404",
"fax_number": "818-722-3409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11565 LAUREL CANYON BLVD STE 200",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404651",
"telephone_number": "818-722-3404",
"fax_number": "818-722-3409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RINALDI SENIOR CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A",
"authorized_official_last_name": "GALADZHYAN",
"authorized_official_first_name": "INGA",
"authorized_official_title_or_position": "PRESIDENT/SECRETARY/TREASURER",
"authorized_official_telephone_number": "818-722-3404"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.