Organization Active NPI

California Home for the Aged, Inc.

  • Skilled Nursing Facility
  • Fresno, CA
National Provider Identifier
1205903176
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
040000081 Issued in CA
Legal business name
CALIFORNIA HOME FOR THE AGED, INC.
Practice address
6720 E Kings Canyon Rd
Fresno, CA 93727-3603
Phone
(559) 251-8414
Fax
(559) 251-5766
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Ms. Yuba Radojkovich
Title
Administrator
Phone
(559) 251-8414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 040000081 CA Primary

Addresses

Primary practice location

6720 E Kings Canyon Rd
Fresno, CA 93727-3603

Mailing address

6720 E Kings Canyon Rd
Fresno, CA 93727-3603
Phone (559) 251-8414

Other identifiers 1

IdentifierTypeStateIssuer
ZZR05955FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080730000349 CA Part A Provider - Skilled Nursing Facility 1052485729 Practice locations: Fresno, CA

Skilled nursing facility certification: CCN 055955

Legal name
CALIFORNIA HOME FOR THE AGED, INC.
Doing business as
CALIFORNIA ARMENIAN HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 23, 1969
Last certification
Mar 20, 2025
Beds
120
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 25, 1968 in CA
Enrollment address
6720 E Kings Canyon Rd
Fresno, CA 93727-3603
Nursing home name
CALIFORNIA HOME FOR THE AGED

Care Compare: Nursing home

Medicare Care Compare
Listed as
California Home for the AgedCCN 055955
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 23, 1969
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12098.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
California Armenian Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 30

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

NameRoleSinceShare
Individual Adp of the SNF May 1, 2023
Tristan Payne Individual Operational/Managerial Control May 11, 2022
Adp of the SNF May 11, 2022
Organization, Fresno, CA Corporation, Medical provider/supplier, For-profit Adp of the SNF Oct 28, 2025
Vahagn Bznouni Individual Corporate Director Sep 1, 2021
Operational/Managerial Control Sep 1, 2021
Steven Shahbazian Individual Corporate OfficerDirector Sep 1, 2023
Corporate DirectorDirector Sep 1, 2023
Operational/Managerial Control Sep 1, 2023
Mitch Bagdasarian Individual Corporate OfficerChairman Sep 1, 2022
Corporate DirectorChairman Sep 1, 2022
Operational/Managerial Control Sep 1, 2022
Charlene Harris Individual Operational/Managerial Control Dec 18, 2023
Adp of the SNF Dec 18, 2023
Organization, Atlanta, GA Corporation, Medical provider/supplier, For-profit Adp of the SNF Oct 28, 2025
Gary Krboyan Individual Corporate OfficerDirector Sep 1, 2021
Corporate DirectorDirector Sep 1, 2021
Operational/Managerial Control Sep 1, 2021
Mary Braa Individual Corporate OfficerAssistant Secretary Sep 1, 2022
Corporate DirectorAssistant Secretary Sep 1, 2022
Operational/Managerial Control Sep 1, 2022
Michael Hannigan Individual Corporate OfficerVice President Sep 1, 2021
Corporate DirectorVice President Sep 1, 2021
Operational/Managerial Control Sep 1, 2021
Melanie Gonzales Individual Operational/Managerial Control Jan 23, 2025
Adp of the SNF Jan 23, 2025
Organization, Fresno, CA Corporation, Medical provider/supplier, For-profit Adp of the SNF Oct 28, 2025
Lucy Grayson Individual Corporate OfficerPresident Sep 11, 2018
Corporate DirectorPresident Sep 11, 2018
Operational/Managerial ControlPresident Sep 11, 2018 100%
Georgia Sample Individual Corporate OfficerSecretary Sep 1, 2022
Corporate DirectorSecretary Sep 1, 2022
Operational/Managerial Control Sep 1, 2022
Lori Buwalda Individual Operational/Managerial Control Apr 14, 2025
Adp of the SNF Apr 14, 2025
Organization, Portland, OR LLC, Consulting firm, For-profit Adp of the SNF Jun 16, 2025
Edward Hokokian Individual Corporate OfficerDirector Sep 1, 2023
Corporate DirectorDirector Sep 1, 2023
Operational/Managerial Control Sep 1, 2023
Robert Mangasarian Individual Corporate OfficerTreasurer Sep 11, 2018
Corporate DirectorTreasurer Sep 11, 2018
Operational/Managerial Control Sep 11, 2018
Christopher L. Telesmanic Individual Operational/Managerial Control Jul 1, 2014
Adp of the SNF Jul 1, 2014
Varoujan Der Simonian Individual Corporate OfficerDirector Sep 1, 2021
Corporate DirectorDirector Sep 1, 2021
Operational/Managerial Control Sep 1, 2021
Office of Statewide Health Planning and Development Organization, Sacramento, CA Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 20, 2018 41%
5% Or Greater Security Interest Nov 20, 2018 41%
Dennis Bacopulos Individual Corporate OfficerCeo Sep 1, 2023
Operational/Managerial Control Sep 1, 2023
Adp of the SNF Sep 1, 2023
Individual Adp of the SNF Apr 1, 2024
Terry Andersen Individual Operational/Managerial Control May 29, 2019
Adp of the SNF May 29, 2019
Barinder Kaur Saran Individual Operational/Managerial Control Jun 16, 2025
Adp of the SNF Jun 16, 2025
Asha Pritpal S Sidhu Individual Operational/Managerial Control Apr 1, 2007
Adp of the SNF Apr 1, 2007
Nick Nolen Individual Operational/Managerial Control May 8, 2023
Adp of the SNF May 8, 2023
Angela Hopkins Individual Operational/Managerial Control Jun 1, 2022
Adp of the SNF Jun 1, 2022
Rajwindor Toor Individual Operational/Managerial Control Jan 2, 2025
Adp of the SNF Jan 2, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1205903176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273603",
            "telephone_number": "559-251-8414",
            "fax_number": "559-251-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273603",
            "telephone_number": "559-251-8414",
            "fax_number": "559-251-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HOME FOR THE AGED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "RADOJKOVICH",
        "authorized_official_first_name": "YUBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-251-8414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05955F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.