Provider Demographics
NPI:1164004602
Name:CENTRAL VALLEY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:CENTRAL VALLEY HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYAJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-917-1436
Mailing Address - Street 1:1221 VAN NESS AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1720
Mailing Address - Country:US
Mailing Address - Phone:559-917-1436
Mailing Address - Fax:
Practice Address - Street 1:1221 VAN NESS AVE STE 403
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-1720
Practice Address - Country:US
Practice Address - Phone:559-917-1436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health