Organization Active NPI

Hakimi Home Health Inc

  • Home Health Agency
  • Pasadena, CA
National Provider Identifier
1265841936
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Jul 17, 2014 in CA
Enrollment address
280S Los Robles Ave a
Pasadena, CA 91101-2872
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hakimi Home Health, IncCCN 553103 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
May 29, 2018
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

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.

NameRoleSinceShare
Mina Hakimi Individual 5% Or Greater Direct Ownership InterestCeo, Owner Aug 4, 2014 100%
Corporate DirectorCeo Aug 4, 2014 100%
W-2 Managing EmployeeAdministrator Aug 4, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "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

Verify at the official NPI Registry.