Active NPI
Hannah Home Health Inc
- Home Health Agency
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 550000315
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- Jul 10, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Emebet Haigaz | 5% Or Greater Direct Ownership Interest | Apr 1, 2012 | 100% |
| Corporate Officer | Apr 1, 2012 | 100% | |
| Corporate Director | Apr 1, 2012 | 100% | |
| W-2 Managing Employee | Apr 1, 2012 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Inglewood, CA
- NPI 1265437925
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.