Organization Active NPI

Rda Home Health Services, Inc.

  • Home Health Agency
  • San Bernardino, CA
National Provider Identifier
1376025650
Registry record updated Sep 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 3, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1790125946MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 559278 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 26, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
05D2168350Rda Home Health Services, Inc2130 North Arrowhead Avenue Suite 202 (B&D), San Bernardino, CA 92405Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Sebastine Chikezie Individual 5% Or Greater Direct Ownership Interest Jun 24, 2025 100%
Corporate OfficerOwner, Ceo, Cfo, Secretary Jun 24, 2025 100%
Corporate DirectorCeo, Cfo and Secretary Jun 24, 2025 100%
W-2 Managing EmployeeOwner, Ceo, Cfo, Secretary 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.

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.