Organization Active NPI

The Mother Rose Manor

  • Assisted Living Facility
  • Los Angeles, CA
National Provider Identifier
1013152990
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
310400000X Issued in CA
Legal business name
THE MOTHER ROSE MANOR
Practice address
628 W 52ND PL
Los Angeles, CA 90037-3706
Phone
(323) 846-1000
Fax
(323) 846-1011
NPI assigned
Dec 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Yvonne Mosley, R.N., F.N.P.
Title
Aministrator
Phone
(323) 846-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 310400000X CA Primary

Addresses

Primary practice location

628 W 52ND PL
Los Angeles, CA 90037-3706

Mailing address

628 W 52ND PL
Los Angeles, CA 90037-3706
Phone (323) 846-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1013152990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 W 52ND PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373706",
            "telephone_number": "323-846-1000",
            "fax_number": "323-846-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 W 52ND PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373706",
            "telephone_number": "323-846-1000",
            "fax_number": "323-846-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOTHER ROSE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "AMINISTRATOR",
        "authorized_official_telephone_number": "323-846-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., F.N.P."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "310400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.