Shine Care Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SHINE CARE HOME HEALTH INC

Practice address

22048 Sherman Way Ste 216
Canoga Park, CA 91303-1841

Phone

(818) 807-0087

Fax

(818) 484-2959

NPI assigned

Jul 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Mantashian

Title

Ceo

Phone

(818) 807-0087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 757925

Legal name

SHINE CARE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 27, 2025

Last certification

May 16, 2025

Organization structure

CorporationProprietary

Enrollment address

22048 Sherman Way
Ste 216
Canoga Park, CA 91303-1841
HHA Branch

Listed as

Shine Care Home Health, Inc.CCN 757925

Ownership

-

Certified

May 27, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1871273433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22048 SHERMAN WAY STE 216",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031841",
            "telephone_number": "818-807-0087",
            "fax_number": "818-484-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22048 SHERMAN WAY STE 216",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031841",
            "telephone_number": "818-807-0087",
            "fax_number": "818-484-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE CARE HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MANTASHIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-807-0087"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinese Sharp
• Shawn Rabizadeh DDS Inc.
• Veronica Shepherd
• Sherif Khamis MD Inc
• Alan Douglas Sherman, D.C.
• Kamryn Short-Nagel
• Jake Shulman
• Kayla Sied
• Diana Sierra
• Gladys Sierra

• Home Health Agency in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.

Verify at the official NPI Registry.