Active NPI
Duhaney Home Health Care Inc
- Home Health Agency
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 980000796
- Legal business name
- DUHANEY HOME HEALTH CARE INC
- Practice address
- 6060 W Manchester Ave Ste 312
Los Angeles, CA 90045-4267 - Phone
- (310) 416-1160
- Fax
- (310) 416-1134
- NPI assigned
- Jul 19, 2005
- 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
- Mr. Binzie Roy Davidson
- Title
- Administrator
- Phone
- (310) 416-1160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 980000796 | CA | Primary |
Addresses
Primary practice location
6060 W Manchester Ave Ste 312
Los Angeles, CA 90045-4267
Mailing address
6060 W Manchester Ave Ste 312
Los Angeles, CA 90045-4267
Phone (310) 416-1160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA57413F | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080327000830 | CA | Part A Provider - Home Health Agency | 7719069046 | Practice locations: Los Angeles, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1407855620. Details of each certification follow.
Home health agency certification: CCN 058476
- Legal name
- DUHANEY HOME HEALTH CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 29, 2008
- Last certification
- May 3, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 3, 1993 in CA
- Enrollment address
- 6060 W Manchester Ave
Ste 312
Los Angeles, CA 90045-4267
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Duhaney Home Health Care, Inc
- Ownership
- Proprietary
- Certified
- Jul 29, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
360 N Pacific Coast Hwy
Ste 1022
El Segundo, CA 90245
Phone (310) 416-1160
360 N Pacific Coast Hwy
Ste 2030
El Segundo, CA 90245
6060 W Manchester Ave
Ste 312
Los Angeles, CA 90045
Phone (310) 416-1160
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 |
|---|---|---|---|
| Binzie Roy Davidson | 5% Or Greater Direct Ownership Interest | Feb 23, 2024 | 100% |
| Corporate Officer | Aug 13, 2024 | 100% | |
| Corporate Director | Aug 13, 2024 | 100% | |
| W-2 Managing Employee | Aug 13, 2024 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1407855620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6060 W MANCHESTER AVE STE 312",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900454267",
"telephone_number": "310-416-1160",
"fax_number": "310-416-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6060 W MANCHESTER AVE STE 312",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900454267",
"telephone_number": "310-416-1160",
"fax_number": "310-416-1134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUHANEY HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "BINZIE",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-416-1160",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "CA",
"license": "980000796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "HHA57413F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.