Madeline Fry X, MHA, NHA

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

5356 Issued in CA

Practice address

941 1/2 Hilgard Ave
Los Angeles, CA 90024-3032

Phone

(310) 405-5758

NPI assigned

Jan 31, 2025

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1033922059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11693 SAN VICENTE BLVD # 143",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495105",
            "telephone_number": "310-405-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 1/2 HILGARD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243032",
            "telephone_number": "310-405-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "MADELINE",
        "name_prefix": "Ms.",
        "name_suffix": "X",
        "credential": "MHA, NHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "5356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Frugone, HAD
• Miriam Frunza
• Jennifer Frutchey
• Alyssa Mary Fry
• Falyne Jessica Fry, M.D.
• Shannon Fry, L.AC.
• Douglas M Frye, MD, MPH
• Evelyn Frye, DDS
• Jenna Elizabeth Frye, RN
• Kinsey Fryer, MSW-INTERN

• Nursing Home Administrator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nursing Home Administrator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.