=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235093733
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HANNAHEALTH GROUP, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/10/2025
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3322 SWEETWATER SPRINGS BLVD STE 106
-----------------------------------------------------
City | SPRING VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91977-3142
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-930-9490
-----------------------------------------------------
Fax | 619-741-0017
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3322 SWEETWATER SPRINGS BLVD STE 106
-----------------------------------------------------
City | SPRING VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91977-3142
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-930-9490
-----------------------------------------------------
Fax | 619-741-0017
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. TOM ELIAS HANNA
-----------------------------------------------------
Credential | ESQ.
-----------------------------------------------------
Telephone | 619-930-9490
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------