Organization Active NPI

Mahogany Homes LLC

  • Assisted Living Facility
  • Oakland, CA
National Provider Identifier
1194644427
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MAHOGANY HOMES LLC
Practice address
1192 60TH Ave
Oakland, CA 94621-3908
Phone
(510) 502-2622
NPI assigned
Jul 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Authorized official

Name
Sharawn Tipton
Title
Ceo and Rcfe Administrator
Phone
(510) 502-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1192 60TH Ave
Oakland, CA 94621-3908

Mailing address

1192 60TH Ave
Oakland, CA 94621-3908
Phone (510) 502-2622

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1194644427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 60TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946213908",
            "telephone_number": "510-502-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 60TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946213908",
            "telephone_number": "510-502-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "TIPTON",
        "authorized_official_first_name": "SHARAWN",
        "authorized_official_title_or_position": "CEO AND RCFE ADMINISTRATOR",
        "authorized_official_telephone_number": "510-502-2622"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.