Provider Demographics
NPI:1003697269
Name:CENTRAL VALLEY HOME HEALTH, LLC
Entity Type:Organization
Organization Name:CENTRAL VALLEY HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANI
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:BENYAMINE
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:818-823-0014
Mailing Address - Street 1:2753 W MESA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-1713
Mailing Address - Country:US
Mailing Address - Phone:818-823-0014
Mailing Address - Fax:559-570-8185
Practice Address - Street 1:445 W BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6096
Practice Address - Country:US
Practice Address - Phone:818-823-0014
Practice Address - Fax:559-570-8185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health