NPIMap

Organization Active NPI

Berhan Home Health Care Agency Inc

  • Home Health Agency
  • Washington, DC
National Provider Identifier
1841386067
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
097053 Issued in DC
Legal business name
BERHAN HOME HEALTH CARE AGENCY INC
Practice address
7826 Eastern Ave NW
Suite LL 16
Washington, DC 20012-1324
Phone
(202) 723-1100
Fax
(202) 723-3271
NPI assigned
Oct 5, 2006
Last updated
Sep 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Mr. Fessha Wolde Mollalign
Title
Ceo
Phone
(202) 723-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 097053 DC Primary

Addresses

Primary practice location

7826 Eastern Ave NW
Suite LL 16
Washington, DC 20012-1324

Mailing address

7826 Eastern Ave NW
Suite LL 16
Washington, DC 20012-1324
Phone (202) 723-1100

Other identifiers 2

IdentifierTypeStateIssuer
035195600MedicaidDC
035472600MedicaidDC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030418000024 DC Part A Provider - Home Health Agency 3274442157 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841386067. Details of each certification follow.

Home health agency certification: CCN 097053

Legal name
BERHAN HOME HEALTH CARE AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 9, 2003
Last certification
Jul 16, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 12, 2002 in DC
Enrollment address
7826 Eastern Ave NW
LL16
Washington, DC 20012-1316

Care Compare: Home health agency

Medicare Care Compare
Listed as
Berhan Home Health Care Agency IncCCN 097053 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 9, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
09D1012012Berhan Home Health Care Agency, Inc7826 Eastern Avenue, NW Suite #LL16, Washington, DC 20012Certificate of waiverApr 28, 2027

National Provider Directory

National Provider Directory

Locations

7826 Eastern Ave NW
Ste LL16
Washington, DC 20012
Phone (202) 273-1100

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Martha Y. Amare Individual Corporate DirectorBoard Member Jun 2, 2008
W-2 Managing EmployeeHuman Resource Manager Jun 2, 2008
Fessha Wolde Mollalign Individual 5% Or Greater Direct Ownership InterestCeo Jun 12, 2002 100%
Corporate OfficerCeo Jun 12, 2002
Corporate DirectorBoard Member Jun 12, 2002
Mutuiri Mituruciu Individual Corporate DirectorBoard Member Jul 18, 2008
Teddy Lubega Individual Corporate DirectorBoard Member Apr 5, 2004
Barbara H. Foley Individual Corporate DirectorBoard Member Jan 1, 2004
W-2 Managing EmployeeDirector of Nursing Jan 1, 2004
Tedla Giorgis Individual Corporate DirectorBoard Member Jul 1, 2007

Practitioners & affiliated clinicians

Practitioners 355

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 355

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1841386067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW",
            "address_2": "SUITE LL 16",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121324",
            "telephone_number": "202-723-1100",
            "fax_number": "202-723-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW",
            "address_2": "SUITE LL 16",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121324",
            "telephone_number": "202-723-1100",
            "fax_number": "202-723-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERHAN HOME HEALTH CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "MOLLALIGN",
        "authorized_official_first_name": "FESSHA",
        "authorized_official_middle_name": "WOLDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-723-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "097053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035195600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035472600",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.