Organization Active NPI

San Lorenzo Home Health

Doing business as Home Health Agency

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1326250879
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAN LORENZO HOME HEALTH
Doing business as
Home Health Agency
Practice address
4021 North Fresno Street
105
Fresno, CA 93726-4030
Phone
(559) 230-0516
Fax
(559) 230-0517
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Mrs. Mariam Babujyan, RN
Title
Administrator
Phone
(559) 230-0516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4021 North Fresno Street
105
Fresno, CA 93726-4030

Mailing address

4021 North Fresno Street
Suite 105
Fresno, CA 93726-4030
Phone (559) 230-0516

Other names 1

  • Home Health Agency Doing business as

Care Compare: Home health agency

Medicare Care Compare
Listed as
San Lorenzo Home Health LLCCCN 059466
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 23, 2012
Medicare certification status
Terminated Voluntary: merger or closure, May 4, 2026From the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2037412San Lorenzo Home Health4021 N Fresno St, Ste 105, Fresno, CA 93726Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

4021 N Fresno St
Ste 105
Fresno, CA 93726
Phone (559) 230-0516

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1326250879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 NORTH FRESNO STREET",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264030",
            "telephone_number": "559-230-0516",
            "fax_number": "559-230-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 NORTH FRESNO STREET",
            "address_2": "105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264030",
            "telephone_number": "559-230-0516",
            "fax_number": "559-230-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LORENZO HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BABUJYAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-230-0516",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.