HANNA'S HOUSE (NPI# 1154605939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154605939 |
| Entity Type | Organization |
| Organization Name | HANNA'S HOUSE |
| Other Organization Name | HANNAH'S FIRST STEP TREATMENT CENTER |
| Practice Address |
5900 S Eastern Ave Ste 142 Commerce CA 90040-4024 |
| Mailing Address |
5900 S Eastern Ave Ste 186 Commerce CA 90040-4018 |
| Practice Telephone | 3232786501 |
| Practice Fax Number | 3232786515 |
| Mailing Telephone | 3232786501 |
| Mailing Fax Number | 3232786515 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | MR. KIMBERLY SMOAK BERRY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 3232786501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRUG MEDI-CAL | 7429 | 01 |
| Other Name | Type Code |
|---|---|
| Hannah's First Step Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871842492 | Hanna's House | Community/Behavioral Health | 1010 Dundas St, Apt 8, Los Angeles, CA 90063-2600 | 2012-08-29 |
| 1922245059 | Hanna's House | Clinic/Center | 5900 S Eastern Ave, Suite 186, Commerce, CA 90040-4017 | 2009-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HANNA'S HOUSE | 37 Fourth St, Ashland, OR 97520 |
| Street Address |
5900 S EASTERN AVE STE 142 |
| City | COMMERCE |
| State | CA |
| Zip Code | 90040-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457784480 | Dario Saul Mazariegos | Counselor | 5900 S Eastern Ave Ste 142, Commerce, CA 90040-4024 | 2013-08-13 |
| 1578812194 | Krystleblue Bautista Santos | Counselor | 5900 S Eastern Ave Ste 142, Commerce, CA 90040-4024 | 2012-08-29 |
| 1558632406 | Gilbert Becerra | Counselor | 5900 S Eastern Ave Ste 142, Commerce, CA 90040-4024 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178358 | On Site Physician Services, PC | Family Medicine | 6131 Telegraph Road, Commerce, CA 90040 | 2018-09-20 |
| 1912423831 | Rafael Marron IIi | Health Educator | 5675 E. Telegraph Rd., Commerce, CA 90040 | 2017-08-22 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1578815072 | Martha Rose Lopez | Rehabilitation Practitioner | 2450 South Atlantic Blvd., Suite #101, Commerce, CA 90040 | 2012-10-08 |
| 1386906949 | Nadia Felix | Case Manager/Care Coordinator | 2450 Atantic Blvd, Suite #101, Commerce, CA 90040 | 2012-06-11 |
| 1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
| 1821398488 | Karla Sandin | Marriage & Family Therapist | 5628 E Slauson Ave., City of Commerce, CA 90040 | 2010-10-29 |
| 1437461662 | Stephanie Ann Villasenor | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040 | 2010-07-02 |
| 1699940296 | Carolyn Coolidge | Rehabilitation Practitioner | 6055 E. Washingtonblvd., Suite 900, Commerce, CA 90040 | 2008-04-24 |
| 1508040379 | Miyoshi Umeki Dorsey | Case Management | 1500 S. Mc Dowell Ave., Los Angeles, CA 90040 | 2007-12-28 |
| Find all providers in zip 90040 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560931 | Natalie K Dignam | Counselor | 1004 Park St Apt 5, Commerce, TX 75428-2691 | 2020-05-19 |
| 1487015707 | Shane Rivera | Counselor | 5053 Astor Ave, Commerce, CA 90040-1301 | 2016-03-14 |
| 1194332510 | Live Life Now Health Group of California PC | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040-4033 | 2020-09-29 |
| 1396249421 | Monica Lorene Cody | Counselor | 5650 Jillson St, Commerce, CA 90040-1482 | 2018-03-22 |
| 1487014486 | Melissa Botts | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-03-03 |
| 1508226648 | Lisha Lancaster | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-03-02 |
| 1518324227 | Santiago Rodriguez | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-01-26 |
| 1245696756 | Greg Fent | Counselor | 304 N Mickey Mantle Blvd, Commerce, OK 74339-1110 | 2016-01-13 |
| 1457784480 | Dario Saul Mazariegos | Counselor | 5900 S Eastern Ave Ste 142, Commerce, CA 90040-4024 | 2013-08-13 |
| 1699113498 | Sharon Renne Allen | Counselor | 1500 S Mcdonnell Ave, Commerce, CA 90040-5623 | 2013-06-13 |
| Find all providers in COMMERCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.