NPIMap

Organization Active NPI

Hana Home Health Care, Inc.

Doing business as Hana Care Texas

  • Home Health Agency
  • Austin, TX
National Provider Identifier
1447736996
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
015575 Issued in TX
Legal business name
HANA HOME HEALTH CARE, INC.
Doing business as
Hana Care Texas
Practice address
223 W Anderson LN Ste A110
Austin, TX 78752-1109
Phone
(512) 284-7757
Fax
(512) 777-5044
NPI assigned
Jul 18, 2018
Last updated
Dec 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Mr. Ryan W Kim
Title
Administrator/Owner
Phone
(512) 284-7757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 015575 TX Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

223 W Anderson LN Ste A110
Austin, TX 78752-1109

Mailing address

223 W Anderson LN Ste A110
Austin, TX 78752-1109
Phone (512) 284-7757

Other identifiers 1

IdentifierTypeStateIssuer
398937801MedicaidTX

Other names 1

  • Hana Care Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190329001047 TX Part A Provider - Home Health Agency 1456691427 Practice locations: Austin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447736996. Details of each certification follow.

Home health agency certification: CCN 453107

Legal name
HANA HOME HEALTH CARE INC
Doing business as
HANA CARE TEXAS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 22, 2004
Last certification
Aug 5, 2020
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Incorporated
Jun 1, 2018 in TX
Enrollment address
223 W Anderson LN
Ste A110
Austin, TX 78752-1109

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hana Care TexasCCN 453107 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jun 22, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1012937Hana Home Health Care, Inc Dba Hana Care Texas223 W Anderson LN # A110, Austin, TX 78752Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

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
Ryan W Kim Individual 5% Or Greater Direct Ownership Interest Jul 6, 2018 100%
Corporate DirectorOwner/Pres Jul 6, 2018 100%
W-2 Managing EmployeeAdmin Jul 6, 2018

Change-of-ownership history 1

DateEventCounterparty
Jul 6, 2018 Change of OwnershipThis provider was the buyer Coastal Home Health CareCCN 453107, TX, NPI 1174861512

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 15

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1447736996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W ANDERSON LN STE A110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521109",
            "telephone_number": "512-284-7757",
            "fax_number": "512-777-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W ANDERSON LN STE A110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521109",
            "telephone_number": "512-284-7757",
            "fax_number": "512-777-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "512-284-7757",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015575",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "398937801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hana Care Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.