MARY'S HOUSE (NPI# 1568679959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568679959 |
| Entity Type | Organization |
| Organization Name | MARY'S HOUSE |
| Practice Address |
14901 Condon Ave Lawndale CA 90260-1216 |
| Practice Telephone | 3107393585 |
| Practice Fax Number | 3106754551 |
| Mailing Telephone | 3107393585 |
| Mailing Fax Number | 3106754551 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | DR. EUGENE HARDIN (LICENSEE) |
| Authorized Official Telephone | 3107393585 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. MARY INVESTMENTS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 960000992 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 156867995901 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578796165 | Mary's House | Foster Care Agency | 609 3rd St Ne, Little Falls, MN 56345-2409 | 2009-08-28 |
| 1326473869 | Mary's House | Community Based Residential Treatment Facility, Mental Illness | 304 W Millbrook Rd Ste F, Raleigh, NC 27609-4381 | 2013-09-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MARY'S HOUSE CLEANING LLC | 7061 County Road 24, Ridgway, CO 81432-9761 |
| System for Award Management (SAM) Entities | MARY'S HOUSE DAY CARE | 732 E 2nd St, Centralia, IL 62801-4040 |
| Virginia Business Entities | Mary's House Inc. | 850 Tidewater Drive, Ste A, Norfolk, Virginia 23504 |
| Massachusetts Corporations | MARY'S HOUSE, INC. | Dolores Driscol, 5 Rowley Rd., Topsfield, MA 01983 |
| Oregon Corporations, Companies and Business Names | MARY'S HOUSEKEEPING | 2165 Crestbrook Rd, Medford, OR 97504 |
| Colorado Business Entities | Mary's Housekeeping-Housecleaning Services | 2424 9th Avenue, Apt. 5209, Longmont, CO 80503 |
| Street Address |
14901 CONDON AVE |
| City | LAWNDALE |
| State | CA |
| Zip Code | 90260-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050441 | Medical Legal Experts Mle | Specialist/Technologist, Other | 4623 Hawthorne Blvd., Suite 401, Lawndale, CA 90260 | 2019-12-16 |
| 1730659392 | Spine Pro Tardaguila Chiropractic and Pt Rehab Corp | Chiropractor | 15901 Hawthorne Blvd. 160, Lawndale, CA 90260 | 2018-11-27 |
| 1356810758 | Jason H. Ta, Dmd, Inc. | Dentist | 16709 Hawthorne Blvd., Lawndale, CA 90260 | 2018-11-15 |
| 1437631868 | Careplus Palliative Inc. | Hospice Care, Community Based | 14708 Hawthorne Blvd Suite 8, Lawndale, CA 90260 | 2018-09-01 |
| 1083072664 | Joann Kim Ha Tran | Dentist | 15655 Hawthorne Blvd Ste A, Lawndale, CA 90260 | 2016-02-10 |
| 1598134785 | Stephanie Galang | Specialist/Technologist | 15413 Cranbrook Ave., Lawndale, CA 90260 | 2015-09-18 |
| 1275929804 | Healthy Heart Home Care | Home Health | 15901 Hawthorne Bl, Ste. 410, Lawndale, CA 90260 | 2015-04-10 |
| 1699190496 | Stephanie Ann Cross | Chiropractor | 14623 Hawthorne Blvd Ste 207, Lawndale, CA 90260 | 2014-03-03 |
| 1659681773 | Sorour Dmd PC | Dentist | 14979 Praire Ave, Lawndale, CA 90260 | 2010-10-08 |
| 1669625430 | Safety Works Medical, Inc | Chiropractor | 14623 Hawthorne Blvd., Suite 207, Lawndale, CA 90260 | 2008-10-24 |
| Find all providers in zip 90260 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215545538 | Vine Valley Homes II | Intermediate Care Facility, Mentally Retarded | 8400 Bellingham Ave, Sun Valley, CA 91352-3803 | 2020-07-22 |
| 1841811791 | Young Walker Inc. | Intermediate Care Facility, Mentally Retarded | 14 Deer Ct, Sacramento, CA 95823-4402 | 2020-05-01 |
| 1003441155 | Sunrise Premier Homes LLC | Intermediate Care Facility, Mentally Retarded | 13831 Ruther Ave, Paramount, CA 90723-2662 | 2020-03-10 |
| 1649805912 | Jingma Inc | Intermediate Care Facility, Mentally Retarded | 34909 Osprey Dr, Union City, CA 94587-4618 | 2020-03-07 |
| 1124661699 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 581 S Gilmar St, Anaheim, CA 92802-1306 | 2019-10-28 |
| 1467095935 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1592 W Lorane Way, Anaheim, CA 92802-3930 | 2019-10-28 |
| 1992348460 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5940 Los Angeles Way, Buena Park, CA 90620-2723 | 2019-10-28 |
| 1578106043 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2918 E Greenhedge Ave, Anaheim, CA 92806-3804 | 2019-10-28 |
| 1790328680 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 2143 W Fir Ave, Anaheim, CA 92801-3436 | 2019-10-23 |
| 1356984249 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 6540 Christine Cir, Buena Park, CA 90620-4511 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
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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.