MEDICARE: HANNAHEALTH GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1235093733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANNAHEALTH GROUP, LLC

Provider Business Mailing Address
First Line	:	3322 SWEETWATER SPRINGS BLVD STE 106
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-3142
Country	:	US
Telephone Number	:	619-930-9490
Fax Number	:	619-741-0017

Provider Business Practice Location Address
First Line	:	3322 SWEETWATER SPRINGS BLVD STE 106
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-3142
Country	:	US
Telephone Number	:	619-930-9490
Fax Number	:	619-741-0017

Authorized Official
Title or Position	:	CEO
Name	:	MR. TOM ELIAS HANNA
Credential	:	ESQ.
Telephone Number	:	619-930-9490

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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