Healing Hands Hospice Care Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEALING HANDS HOSPICE CARE INC.

Practice address

1775 E Lincoln Ave Ste 203
Anaheim, CA 92805-4324

Phone

(714) 683-8287

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Basil Issa

Title

Ceo

Phone

(714) 683-8287

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B51708

Legal name

HEALING HANDS HOSPICE CARE INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 20, 2022

Last certification

Jan 6, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 14, 2020 in CA

Enrollment address

1775 E Lincoln Ave
Ste 203
Anaheim, CA 92805-4324

Listed as

Healing Hands Hospice Care, Inc.CCN B51708

Certified

Jan 20, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

Owners & managing parties with NPI records 1

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

• Phillip Tafoya, MD

  • Specialist
  • Temecula, CA
  • NPI 1073509469

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1700493053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 E LINCOLN AVE STE 203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054324",
            "telephone_number": "714-683-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E LINCOLN AVE STE 203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928054324",
            "telephone_number": "714-683-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS HOSPICE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-683-8287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.

Verify at the official NPI Registry.