Provider Demographics
NPI:1487835963
Name:HANNAH HOME HEALTH INC
Entity Type:Organization
Organization Name:HANNAH HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMEBET
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIGAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-815-4275
Mailing Address - Street 1:963 N LA BREA AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-2207
Mailing Address - Country:US
Mailing Address - Phone:323-936-6484
Mailing Address - Fax:
Practice Address - Street 1:963 N LA BREA AVE STE A
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-2207
Practice Address - Country:US
Practice Address - Phone:323-936-6484
Practice Address - Fax:323-936-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000315251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058384Medicare Oscar/Certification