Provider Demographics
NPI:1447253943
Name:HOME HEALTH CARE MANAGEMENT, INC.
Entity type:Organization
Organization Name:HOME HEALTH CARE MANAGEMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:H
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PHD, PHN, CCM
Authorized Official - Phone:530-343-0727
Mailing Address - Street 1:1398 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7801
Mailing Address - Country:US
Mailing Address - Phone:530-343-0727
Mailing Address - Fax:530-895-1703
Practice Address - Street 1:1398 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7801
Practice Address - Country:US
Practice Address - Phone:530-343-0727
Practice Address - Fax:530-895-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 171W00000X, 251X00000X
CA230000185251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No251X00000XAgenciesSupports Brokerage
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57208FMedicaid
CAAYD000320Medicaid
CA557208Medicare PIN