McNulty Villa, Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

MCNULTY VILLA, INC.

Practice address

20724 McNulty PL
Winnetka, CA 91306-2120

Phone

(818) 395-6037

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Jing Daisy Struve

Title

Manager

Phone

(818) 395-6037

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1194395327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20724 MCNULTY PL",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062120",
            "telephone_number": "818-395-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20724 MCNULTY PL",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062120",
            "telephone_number": "818-395-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNULTY VILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "STRUVE",
        "authorized_official_first_name": "JING",
        "authorized_official_middle_name": "DAISY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-395-6037",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Personal Care Attendant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.