Central Valley Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CENTRAL VALLEY HOME HEALTH CARE INC

Practice address

1221 Van Ness Ave Ste 403
Fresno, CA 93721-1720

Phone

(559) 917-1436

NPI assigned

Apr 23, 2021

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lusine Boyajyan

Title

Owner

Phone

(559) 917-1436

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164004602. Details of each certification follow.

• CCN 757981 Home health agency · Active · Details

Home health agency certification: CCN 757981

Legal name

CENTRAL VALLEY HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 14, 2025

Last certification

Apr 30, 2025

Organization structure

CorporationProprietary

Incorporated

Jul 11, 2023 in CA

Enrollment address

1221 Van Ness Ave Ste 403
Fresno, CA 93721-1720
HHA Branch

Listed as

Central Valley Home Health Care IncCCN 757981 · All quality measures

Ownership

-

Certified

May 14, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Hipolito Gallardo Mariano Jr., M.D

  • General Practice Physician
  • Fresno, CA
  • NPI 1376685685

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1164004602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 VAN NESS AVE STE 403",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211720",
            "telephone_number": "559-917-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 VAN NESS AVE STE 403",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211720",
            "telephone_number": "559-917-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "BOYAJYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-917-1436"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Valley Community Medical Imaging (Cmi)
• Central Valley Community Sports Foundation
• Central Valley Dental Hygiene Practice of N. Rodriguez, Rdhap Inc
• Central Valley Family Therapy Corp
• Central Valley Health Plan, Inc.
• Central Valley Home Health, LLC
• Central Valley Hospice Palliative Medicine Professional Corporation (Central Valley Hospice Palliative Medicine)
• Central Valley Hospice Palliative Medicine Professional Corporation (Central Valley Enhanced Care Management)
• Central Valley Justice Coalition
• Central Valley Lifestyle Medicine, PC

• Home Health Agency in Fresno, CA
• Providers in Fresno, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.