Organization Active NPI

Navitas Home Health Care

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1548995178
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NAVITAS HOME HEALTH CARE
Practice address
5067 N Mariposa St Ste 102
Fresno, CA 93710-7626
Phone
(559) 383-2002
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Grigor Petrosyan
Title
Ceo
Phone
(559) 383-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5067 N Mariposa St Ste 102
Fresno, CA 93710-7626

Mailing address

5067 N Mariposa St Ste 102
Fresno, CA 93710-7626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241125000340 CA Part A Provider - Home Health Agency 7618402942 Practice locations: Fresno, CA

Home health agency certification: CCN 757834

Legal name
NAVITAS HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 14, 2025
Last certification
Feb 4, 2025
Organization structure
CorporationProprietary
Enrollment address
5067 N Mariposa St
Ste 102
Fresno, CA 93710-7626

Care Compare: Home health agency

Medicare Care Compare
Listed as
Navitas Home Health CareCCN 757834 · All quality measures
Ownership
-
Certified
Feb 14, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2324221Navitas Home Health Care5067 N Mariposa St, Ste 102, Fresno, CA 93710Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

5067 N Mariposa St
Ste 102
Fresno, CA 93710
Phone (559) 383-2002

Ownership & related parties

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.

NameRoleSinceShare
Grigor Petrosyan Individual 5% Or Greater Direct Ownership InterestCeo/Cfo/Secretary Jun 8, 2022 100%
Corporate OfficerCeo/Cfo/Secretary Jun 8, 2022 100%
Corporate DirectorCeo/Cfo/Seceratry Jun 8, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Jun 8, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1548995178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5067 N MARIPOSA ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 N MARIPOSA ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107626",
            "telephone_number": "559-383-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVITAS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "GRIGOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-383-2002"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.