Active NPI
San Lorenzo Home Health
Doing business as Home Health Agency
- Home Health Agency
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare: Home health agency
Medicare Care Compare- Listed as
- San Lorenzo Home Health LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 23, 2012
- Medicare certification status
- Terminated Voluntary: merger or closure, May 4, 2026
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2037412 | San Lorenzo Home Health | Certificate of waiver | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.