NPIMap

Organization Active NPI

Healing Hands Home Healthcare, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1922006030
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001349 Issued in CA
Legal business name
HEALING HANDS HOME HEALTHCARE, INC.
Practice address
2525 Colorado Blvd
Suite D
Los Angeles, CA 90041-1062
Phone
(323) 739-0333
Fax
(323) 739-0330
NPI assigned
Jul 12, 2005
Last updated
Apr 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mrs. Teresita Adlawan Prejillana, R..N.NPI 1992124267
Title
Administrator
Phone
(323) 739-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001349 CA Primary

Addresses

Primary practice location

2525 Colorado Blvd
Suite D
Los Angeles, CA 90041-1062

Mailing address

2525 Colorado Blvd.
Suite D
Los Angeles, CA 90041-1602
Phone (323) 739-0333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080312000772 CA Part A Provider - Home Health Agency 5193800233 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922006030. Details of each certification follow.

Home health agency certification: CCN 058084

Legal name
HEALING HANDS HOME HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 16, 2001
Last certification
Apr 11, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 1, 2001 in CA
Enrollment address
2525 Colorado Blvd
D
Los Angeles, CA 90041-1062

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Hands Home Health CareCCN 058084 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Oct 16, 2001
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
05D0991790Healing Hands Home Healthcare Inc2525 Colorado Blvd Suite D, Los Angeles, CA 90041Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Locations

2525 Colorado Blvd
Ste D
Los Angeles, CA 90041
Phone (323) 739-0333

Ownership & related parties

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.

NameRoleSinceShare
Teresita Prejillana Individual 5% Or Greater Direct Ownership Interest May 1, 2001 100%
W-2 Managing Employee May 1, 2001

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 3

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1922006030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD.",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411602",
            "telephone_number": "323-739-0333",
            "fax_number": "323-739-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COLORADO BLVD",
            "address_2": "SUITE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411062",
            "telephone_number": "323-739-0333",
            "fax_number": "323-739-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "PREJILLANA",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "ADLAWAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-739-0333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R..N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.