# BROADWATER RINALDI CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rinaldi Convalescent Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235272170
- **Authorized official:** DOUGLAS EASTON (MANAGER)
- **Authorized official phone:** (818) 368-1862

## Contact information

- **Practice address:** 16553 RINALDI ST, GRANADA HILLS, CA 91344-3762
- **Practice address phone:** (818) 360-1003
- **Practice address fax:** (818) 363-8913
- **Mailing address:** 16553 RINALDI ST, GRANADA HILLS, CA 91344-3762
- **Mailing address phone:** (818) 360-1003
- **Mailing address fax:** (818) 363-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 920000057 | CA | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 04/14/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1235272170 | — | CA |