Organization Active NPI

Hannah Hospice and Palitive Care Inc

  • Community Based Hospice Care Agency
  • Inglewood, CA
National Provider Identifier
1548859606
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HANNAH HOSPICE AND PALITIVE CARE INC
Practice address
963 N la Brea Ave Ste B
Inglewood, CA 90302-2207
Phone
(310) 431-4839
NPI assigned
Jan 13, 2021
Last updated
Jan 11, 2024By the provider in NPPES
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
Officer
Phone
(323) 395-1380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

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

Mailing address

963 N la Brea Ave Ste B
Inglewood, CA 90302-2207
Phone (323) 395-1380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211116000336 CA Part A Provider - Hospice 0446649354 Practice locations: Inglewood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548859606. Details of each certification follow.

Hospice certification: CCN B51704

Legal name
HANNAH HOSPICE AND PALITIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 9, 2022
Last certification
Dec 1, 2022
Organization structure
CorporationProprietary
Incorporated
Nov 14, 2019 in CA
Enrollment address
963 N la Brea Ave
Ste B
Inglewood, CA 90302-2207

Care Compare: Hospice

Medicare Care Compare
Listed as
Hannah Hospice and Palliative Care, Inc.CCN B51704 · All quality measures
Certified
Dec 9, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

963 N La Brea Ave
Ste B
Inglewood, CA 90302
Phone (310) 431-4839

4314 W Slauson Ave
Ste 8A
Los Angeles, CA 90043
Phone (323) 815-4059

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cranford L Scott Individual W-2 Managing EmployeeMD; Mar 21, 2024
Emebet Haigaz Individual 5% Or Greater Direct Ownership Interest Mar 31, 2022 100%
Corporate OfficerCeo Nov 14, 2019 100%
Corporate DirectorCeo Nov 14, 2019 100%
W-2 Managing EmployeeAd; Nov 14, 2019
Dorothy Young Individual W-2 Managing EmployeeDon Mar 21, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1548859606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N LA BREA AVE STE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903022207",
            "telephone_number": "323-395-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N LA BREA AVE STE B",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903022207",
            "telephone_number": "310-431-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH HOSPICE AND PALITIVE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "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": "OFFICER",
        "authorized_official_telephone_number": "323-395-1380"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.