Organization Active NPI

Rinaldi Senior Care Inc

  • Home Health Agency
  • San Fernando, CA
National Provider Identifier
1356950455
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 24, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 757160
Overall star rating
4 of 5
Ownership
-
Certified
Jan 22, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2319953Rinaldi Senior Care Inc11565 Laurel Canyon Blvd Ste 200, San Fernando, CA 91340Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Inga Galadzhyan Individual 5% Or Greater Direct Ownership Interest May 17, 2019
Corporate Director May 17, 2019 100%
W-2 Managing EmployeeCeo 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

Verify at the official NPI Registry.