Active NPI
Attain Health Home Health Inc
- Home Health Agency
- Redondo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- 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
- Dagninet Abay
- Title
- President
- Phone
- (310) 500-6761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 2, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2107457 | Attain Health Home Health, Inc | Certificate of waiver | Oct 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Mary W Mungai | W-2 Managing Employee | Nov 19, 2019 | |
| Abegail V Shibata | W-2 Managing Employee | Jun 5, 2023 | |
| Angela Barba | W-2 Managing Employee | Mar 21, 2021 | |
| Dagninet K Abay | 5% Or Greater Direct Ownership Interest | Jan 30, 2014 | 50% |
| Phyllis N Mungai | 5% Or Greater Direct Ownership Interest | Jan 30, 2014 | 50% |
| Corporate Officer | 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.
-
- Internal Medicine Physician
- Torrance, CA
- NPI 1508181157
Home health agency
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1093341984
Home health agency
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
- Ihsan J Assaf, MFT INTERN
- Associated Counselors & Therapists
- Sara Samara Atallah, PHARMD
- Atazak Inc (Kovacs-Frey Pharmacy)
- Atlas Home Care LLC
- Ronald L Attrell, LCSW
- Jennifer Auf Der Springe, M.D., M.P.H.
- Lawrence N August, M.D.
- Ahmad S Aurang, MD
- Autumn Stephens Licensed Clinical Social Worker Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.