Active NPI
Rda Home Health Services, Inc.
- Home Health Agency
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- RDA HOME HEALTH SERVICES, INC.
- Practice address
- 2130 N Arrowhead Ave Ste 200
San Bernardino, CA 92405-4023 - Phone
- (661) 426-3140
- Fax
- (661) 322-7771
- NPI assigned
- Sep 3, 2018
- 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
- Mr. Rodelio D Amante
- Title
- Ceo/President
- Phone
- (661) 426-3140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CA | Primary |
Addresses
Primary practice location
2130 N Arrowhead Ave Ste 200
San Bernardino, CA 92405-4023
Mailing address
11217 Wilbur Ave
Porter Ranch, CA 91326-2466
Phone (661) 426-3140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790125946 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200410000068 | CA | Part A Provider - Home Health Agency | 6305275413 | Practice locations: San Bernardino, CA |
Home health agency certification: CCN 559278
- Legal name
- RDA HOME HEALTH SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 26, 2021
- Last certification
- Jan 26, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 2130 N Arrowhead Ave
Ste 202 B&D
San Bernardino, CA 92405-4029
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Rda Home Health Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 26, 2021
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 05D2168350 | Rda Home Health Services, Inc | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
2130 N Arrowhead Ave
Ste 202
San Bernardino, CA 92405
Phone (909) 713-2986
2130 N Arrowhead Ave
Ste 200
San Bernardino, CA 92405
Phone (661) 426-3140
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 |
|---|---|---|---|
| Sebastine Chikezie | 5% Or Greater Direct Ownership Interest | Jun 24, 2025 | 100% |
| Corporate Officer | Jun 24, 2025 | 100% | |
| Corporate Director | Jun 24, 2025 | 100% | |
| W-2 Managing Employee | Jun 24, 2025 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Carson, CA
- NPI 1508244740
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Rowland Heights, CA
- NPI 1548472574
Home health agency
-
- Family Medicine Physician
- La Mesa, CA
- NPI 1225069123
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535932800000",
"number": "1376025650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11217 WILBUR AVE",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913262466",
"telephone_number": "661-426-3140",
"fax_number": "661-322-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 N ARROWHEAD AVE STE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924054023",
"telephone_number": "661-426-3140",
"fax_number": "661-322-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RDA HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-03",
"last_updated": "2018-09-03",
"status": "A",
"authorized_official_last_name": "AMANTE",
"authorized_official_first_name": "RODELIO",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "661-426-3140",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790125946",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.