Provider Demographics
NPI:1871842492
Name:HANNA'S HOUSE
Entity Type:Organization
Organization Name:HANNA'S HOUSE
Other - Org Name:HANNAH'S FIRST STEP TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-278-6501
Mailing Address - Street 1:1010 DUNDAS ST
Mailing Address - Street 2:APT 8
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-2600
Mailing Address - Country:US
Mailing Address - Phone:323-901-7865
Mailing Address - Fax:
Practice Address - Street 1:1010 DUNDAS ST
Practice Address - Street 2:APT 8
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-2600
Practice Address - Country:US
Practice Address - Phone:323-901-7865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANNA'S HOUSE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190678AN251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7429Medicare PIN