Organization Active NPI

Heal Home Health, Inc.

  • Home Health Agency
  • Fresno, CA
National Provider Identifier
1730664376
Registry record updated Sep 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAL HOME HEALTH, INC.
Practice address
1041 E Shields Ave Ste B
Fresno, CA 93704-5051
Phone
(559) 570-8520
Fax
(559) 570-8704
NPI assigned
Sep 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2018

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

Authorized official

Name
Minas Avetisyan
Title
Ceo/Owner
Phone
(559) 930-0332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1041 E Shields Ave Ste B
Fresno, CA 93704-5051

Mailing address

1041 E Shields Ave Ste B
Fresno, CA 93704-5051
Phone (559) 570-8520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200623000259 CA Part A Provider - Home Health Agency 0547502874 Practice locations: Fresno, CA

Home health agency certification: CCN 559280

Legal name
HEAL HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 28, 2020
Last certification
Oct 28, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 18, 2018 in CA
Enrollment address
1041 E Shields Ave
Ste B
Fresno, CA 93704-5051

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heal Home Health IncCCN 559280
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 28, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1041 E Shields Ave
Ste B
Fresno, CA 93704
Phone (559) 570-8520

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
Minas Avetisyan Individual 5% Or Greater Direct Ownership InterestDirector, Ceo, Cfo, Secretary Apr 18, 2018 100%
Corporate OfficerDirector, Ceo, Cfo, Secretary Apr 18, 2018 100%
Corporate DirectorDirector, Ceo, Cfo, Secretary Apr 18, 2018 100%
W-2 Managing EmployeeDirector, Ceo, Cfo, Secretary Apr 18, 2018 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1538179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538179200000",
    "number": "1730664376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E SHIELDS AVE STE B",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937045051",
            "telephone_number": "559-570-8520",
            "fax_number": "559-570-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E SHIELDS AVE STE B",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937045051",
            "telephone_number": "559-570-8520",
            "fax_number": "559-570-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-29",
        "last_updated": "2018-09-29",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "MINAS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "559-930-0332"
    },
    "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.