Active NPI
Hannah Hospice and Palitive Care Inc
- Community Based Hospice Care Agency
- Inglewood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2024
- 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
- Officer
- Phone
- (323) 395-1380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Certified
- Dec 9, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Cranford L Scott | W-2 Managing Employee | Mar 21, 2024 | |
| Emebet Haigaz | 5% Or Greater Direct Ownership Interest | Mar 31, 2022 | 100% |
| Corporate Officer | Nov 14, 2019 | 100% | |
| Corporate Director | Nov 14, 2019 | 100% | |
| W-2 Managing Employee | Nov 14, 2019 | ||
| Dorothy Young | W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- Inglewood, CA
- NPI 1265437925
W-2 Managing Employee
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
- 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.