HEALTHY LIFE HOME SERVICES, INC (NPI# 1538609961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538609961 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIFE HOME SERVICES, INC |
| Practice Address |
4705 N Sonora Ave Suite 106 Fresno CA 93722-3966 |
| Practice Telephone | 3238210001 |
| Mailing Telephone | 3238210001 |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-03-04 |
| Authorized Official Name | MRS. AIRPETIAN LOUSIK (OWNER) |
| Authorized Official Telephone | 3238210001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
4705 N SONORA AVE SUITE 106 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-3966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629255609 | Mark Blanton | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2008-01-22 |
| 1396175626 | Jeanette Jackson | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2013-11-22 |
| 1922438480 | Tafailagi Yandall | Counselor | 4705 N Sonora Ave, Fresno, CA 93722-3966 | 2013-11-20 |
| 1851640247 | Jeremiah Brubaker | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2012-08-31 |
| 1851679260 | Minerva Minnie Mijangos | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-08-02 |
| 1841580578 | Yolanda Theresa Bowen | Contractor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-04-14 |
| 1831488964 | Robert Lee Bohanna | Counselor | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-03-29 |
| 1861796062 | Maria Angelica Galvan | Interpreter | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2011-01-03 |
| 1508181413 | Carina Gonzolez Espitia | Community Health Worker | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2010-04-02 |
| 1467782102 | Delta Care Inc | Community/Behavioral Health | 4705 N Sonora Ave, Suite 113, Fresno, CA 93722-3966 | 2009-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867031 | Carol Lynn Hampton | Home Health | 54403 Township Road 172, Fresno, OH 43824-9701 | 2020-09-28 |
| 1063022150 | Blossoming Care Home | Home Health | 4045 N Fresno St Ste 103, Fresno, CA 93726-4099 | 2020-08-04 |
| 1679196034 | Blossom Care Inc. | Home Health | 1500 W Shaw Ave Ste 302, Fresno, CA 93711-3501 | 2020-05-20 |
| 1932734498 | J&p Health LLC | Home Health | 6073 N Fresno St Ste 105, Fresno, CA 93710-8614 | 2020-03-05 |
| 1801430574 | Xencare, Inc. | Home Health | 6590 N Jackson Ave, Fresno, CA 93710-4615 | 2019-11-05 |
| 1518500644 | District Care Services LLC | Home Health | 1723 Lansing Cove Dr, Fresno, TX 77545-6017 | 2019-10-22 |
| 1750931937 | Athena Care Inc. | Home Health | 7636 N Ingram Ave Ste 107, Fresno, CA 93711-6200 | 2019-09-18 |
| 1467017061 | Dignity Home Health Care | Home Health | 1589 W Shaw Ave Ste 10, Fresno, CA 93711-3500 | 2019-05-08 |
| 1154806545 | Citadel M Chavez | Home Health | 5100 N 6th St Ste 154, Fresno, CA 93710-7515 | 2018-10-01 |
| 1730664376 | Heal Home Health, Inc. | Home Health | 1041 E Shields Ave Ste B, Fresno, CA 93704-5051 | 2018-09-29 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.