Organization Active NPI

Hannah Home Health Inc

  • Home Health Agency
  • Inglewood, CA
National Provider Identifier
1487835963
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000315 Issued in CA
Legal business name
HANNAH HOME HEALTH INC
Practice address
963 N la Brea Ave Ste a
Inglewood, CA 90302-2207
Phone
(323) 936-6484
Fax
(323) 936-6432
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Emebet Haigaz
Title
President
Phone
(323) 815-4275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000315 CA Primary

Addresses

Primary practice location

963 N la Brea Ave Ste a
Inglewood, CA 90302-2207

Mailing address

963 N la Brea Ave
Inglewood, CA 90302-2207
Phone (323) 936-6484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000498 CA Part A Provider - Home Health Agency 6800810771 Practice locations: Inglewood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487835963. Details of each certification follow.

Home health agency certification: CCN 058384

Legal name
HANNAH HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 10, 2007
Last certification
May 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 9, 2004 in CA
Enrollment address
963 N la Brea Ave
Ste a
Inglewood, CA 90302-2207

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hannah Home Health, IncCCN 058384 · All quality measures
Ownership
Proprietary
Certified
Jul 10, 2007
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

963 N La Brea Ave
Inglewood, CA 90302

963 N La Brea Ave
Ste A
Inglewood, CA 90302
Phone (323) 936-6484

5768 W Pico Blvd
Ste 204
Los Angeles, CA 90019

4314 W Slauson Ave
Ste 8
Los Angeles, CA 90043
Phone (323) 936-6484

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
Emebet Haigaz Individual 5% Or Greater Direct Ownership Interest Apr 1, 2012 100%
Corporate OfficerCeo Apr 1, 2012 100%
Corporate DirectorCeo Apr 1, 2012 100%
W-2 Managing EmployeeCeo Apr 1, 2012 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1487835963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903022207",
            "telephone_number": "323-936-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N LA BREA AVE STE A",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903022207",
            "telephone_number": "323-936-6484",
            "fax_number": "323-936-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "HAIGAZ",
        "authorized_official_first_name": "EMEBET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-815-4275"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.