Provider Demographics
NPI:1306213517
Name:BABUJYAN HEALTHCARE, INC.
Entity Type:Organization
Organization Name:BABUJYAN HEALTHCARE, INC.
Other - Org Name:BEACON OF HOPE CARE FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HOVHANNES
Authorized Official - Middle Name:
Authorized Official - Last Name:BABUJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-313-1588
Mailing Address - Street 1:1419 W BULLARD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-2324
Mailing Address - Country:US
Mailing Address - Phone:559-721-7103
Mailing Address - Fax:
Practice Address - Street 1:1419 W BULLARD AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-2324
Practice Address - Country:US
Practice Address - Phone:559-721-7103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility