Providence Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE HOME HEALTH SERVICES LLC

Practice address

5100 N 6TH St
118
Fresno, CA 93710-7514

Phone

(818) 736-1280

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Adis Minasyan

Title

Owner

Phone

(818) 736-1280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1811307432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N SIXTH ST",
            "address_2": "118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST",
            "address_2": "118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107514",
            "telephone_number": "818-736-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "MINASYAN",
        "authorized_official_first_name": "ADIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-736-1280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Birgit Prosser, MFT
• Edwin Protacio, RN
• Brittany Breanne Protzman
• Dora Provencio
• Proveri Fresno LLC
• Providian Residential Care Services, Inc.
• Benjamin James Pruett, D.O.
• Bradley Pruett, DC
• Shawna Pruitt
• Trish L Pruitt, CMT

• Home Health Agency in Fresno, CA
• Providers in Fresno, 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 5, 2014; 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.