MEDICARE: BABUJYAN HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1306213517
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABUJYAN HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	1419 W BULLARD AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2324
Country	:	US
Telephone Number	:	559-721-7103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1419 W BULLARD AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-2324
Country	:	US
Telephone Number	:	559-721-7103
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. HOVHANNES BABUJYAN
Credential	:
Telephone Number	:	559-313-1588

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	08/24/2015

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