Active NPI
Hakimi Home Health Inc
- Home Health Agency
- Pasadena, CA
National Provider Identifier
1265841936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HAKIMI HOME HEALTH INC
- Practice address
- 280 S Los Robles Ave
#A
Pasadena, CA 91101-2872 - Phone
- (818) 415-3442
- NPI assigned
- Aug 7, 2014
- Last updated
- May 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mina Hakimi
- Title
- Owner
- Phone
- (818) 415-3442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
280 S Los Robles Ave
#A
Pasadena, CA 91101-2872
Mailing address
280 S Los Robles St
#A
Pasadena, CA 91101-2872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150331000010 | CA | Part A Provider - Home Health Agency | 8022335116 | Practice locations: Pasadena, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265841936. Details of each certification follow.
Home health agency certification: CCN 553103
- Legal name
- HAKIMI HOME HEALTH, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 29, 2018
- Last certification
- May 29, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 17, 2014 in CA
- Enrollment address
- 280S Los Robles Ave a
Pasadena, CA 91101-2872
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Hakimi Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- May 29, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
280 S Los Robles Ave
#A
Pasadena, CA 91101
Phone (818) 415-3442
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mina Hakimi | 5% Or Greater Direct Ownership Interest | Aug 4, 2014 | 100% |
| Corporate Director | Aug 4, 2014 | 100% | |
| W-2 Managing Employee | Aug 4, 2014 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- General Practice Physician
- Monterey Park, CA
- NPI 1164692703
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1558051200000",
"number": "1265841936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 S LOS ROBLES ST",
"address_2": "#A",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 S LOS ROBLES AVE",
"address_2": "#A",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012872",
"telephone_number": "818-415-3442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAKIMI HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-07",
"last_updated": "2019-05-17",
"status": "A",
"authorized_official_last_name": "HAKIMI",
"authorized_official_first_name": "MINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-415-3442"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.