Healthy Living at Home - Fresno LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHY LIVING AT HOME - FRESNO LLC

Practice address

1270 E Almond Ave
Madera, CA 93637-5606

Phone

(559) 675-5505

Fax

(559) 675-5505

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Paul Verhoeve

Title

Ceo

Phone

(888) 871-0766

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthy Living at Home Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Madera Community Hospital

  • General Acute Care Hospital
  • Madera, CA
  • NPI 1669673646

  Member Of

  NPD member

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1497957609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 NORTHSIDE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082720",
            "telephone_number": "888-871-0766",
            "fax_number": "866-551-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375606",
            "telephone_number": "559-675-5505",
            "fax_number": "559-675-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME - FRESNO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "VERHOEVE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-871-0766"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07663G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Living at Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy Living at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrick Isami Hayashi, MD
• Courtney Hayes, LVN
• Michael Hazboun, M.D.
• Head-Space Mental Health Corp
• Healthstat Wellness Bac Madera
• Joe Heaton, CCP
• Whitney Heberle
• Hal Helbock, MD
• Lateshia Henderson, FNP
• Whitney Loren Hendricks

• Home Health Agency in Madera, CA
• Providers in Madera, 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 May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.