Organization Active NPI

Mathas House LLC

  • Assisted Living Facility
  • Los Angeles, CA
National Provider Identifier
1093498602
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MATHAS HOUSE LLC
Practice address
2422 E 113TH St
Los Angeles, CA 90059-2112
Phone
(323) 381-0025
NPI assigned
Aug 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Ms. Sharina Hymes, LVN
Title
Administrator
Phone
(323) 381-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2422 E 113TH St
Los Angeles, CA 90059-2112

Mailing address

13622 Chadron Ave Apt 40
Hawthorne, CA 90250-9251
Phone (323) 381-0025

Other names 1

  • marthas house llc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1093498602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13622 CHADRON AVE APT 40",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902509251",
            "telephone_number": "323-381-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 E 113TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592112",
            "telephone_number": "323-381-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHAS HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "HYMES",
        "authorized_official_first_name": "SHARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-381-0025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "marthas house llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 9, 2023; 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.