Organization Active NPI

Attain Health Home Health Inc

  • Home Health Agency
  • Redondo Beach, CA
National Provider Identifier
1619388808
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ATTAIN HEALTH HOME HEALTH INC
Practice address
1513 Aviation Blvd
Redondo Beach, CA 90278-2805
Phone
(310) 937-1406
Fax
(310) 374-7815
NPI assigned
May 10, 2014
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Dagninet Abay
Title
President
Phone
(310) 500-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1513 Aviation Blvd
Redondo Beach, CA 90278-2805

Mailing address

1513 Aviation Blvd
Redondo Beach, CA 90278-2805
Phone (310) 937-1406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160111002681 CA Part A Provider - Home Health Agency 0840592630 Practice locations: Redondo Beach, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619388808. Details of each certification follow.

Home health agency certification: CCN 553140

Legal name
ATTAIN HEALTH HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 2, 2018
Last certification
Nov 2, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 30, 2014 in CA
Enrollment address
1513 Aviation Blvd
Redondo Beach, CA 90278-2805

Care Compare: Home health agency

Medicare Care Compare
Listed as
Attain Health Home Health, Inc.CCN 553140 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Nov 2, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
05D2107457Attain Health Home Health, Inc1513 Aviation Blvd, Redondo Beach, CA 90278Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Locations

1513 Aviation Blvd
Redondo Beach, CA 90278
Phone (310) 937-1406

1926 S Pacific Coast Hwy
Ste 202
Redondo Beach, CA 90277
Phone (310) 540-0044

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Mary W Mungai Individual W-2 Managing EmployeeOffice Manager Nov 19, 2019
Abegail V Shibata Individual W-2 Managing EmployeeLVN, Case Management / Pi Jun 5, 2023
Angela Barba Individual W-2 Managing EmployeeIntake Coordinator. Mar 21, 2021
Dagninet K Abay Individual 5% Or Greater Direct Ownership Interest Jan 30, 2014 50%
Phyllis N Mungai Individual 5% Or Greater Direct Ownership Interest Jan 30, 2014 50%
Corporate OfficerSecretary Jan 30, 2014 50%
W-2 Managing Employee Nov 4, 2015

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1399680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1619388808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 AVIATION BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782805",
            "telephone_number": "310-937-1406",
            "fax_number": "310-374-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 AVIATION BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782805",
            "telephone_number": "310-937-1406",
            "fax_number": "310-374-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTAIN HEALTH HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-10",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "ABAY",
        "authorized_official_first_name": "DAGNINET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-500-6761"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.