Gidda'S Home Health Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

980001490 Issued in CA

Legal business name

GIDDA'S HOME HEALTH SERVICES, INC.

Practice address

13351 Hawthorne Blvd
Hawthorne, CA 90250-5802

Phone

(310) 644-0985

Fax

(310) 644-5566

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Miss Isatu Neneh Timbo, RN

Title

President

Phone

(310) 644-0985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058226

Legal name

GIDDA'S HOME HEALTH SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 10, 2003

Last certification

Jan 21, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 11, 2002 in CA

Enrollment address

13351 Hawthorne Blvd
Hawthorne, CA 90250-5802

Listed as

Gidda'S Home Health Services, IncCCN 058226

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Nov 10, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1861451841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505802",
            "telephone_number": "310-644-0985",
            "fax_number": "310-644-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13351 HAWTHORNE BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505802",
            "telephone_number": "310-644-0985",
            "fax_number": "310-644-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDDA'S HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "TIMBO",
        "authorized_official_first_name": "ISATU",
        "authorized_official_middle_name": "NENEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-644-0985",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.