NPIMap

Organization Active NPI

Matharu Assisted Living, Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gardena, CA
National Provider Identifier
1346407871
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MATHARU ASSISTED LIVING, INC
Practice address
2420 W 156TH St
Gardena, CA 90249-4616
Phone
(310) 380-6884
Fax
(310) 320-1924
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. Dave S Matharu, MBHM
Title
President / Ceo
Phone
(310) 328-8482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

2420 W 156TH St
Gardena, CA 90249-4616

Mailing address

PO Box 11261
Torrance, CA 90510-1261
Phone (310) 328-8482

National Provider Directory

National Provider Directory
Tax ID family
Matharu Assisted Living Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1346407871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11261",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905101261",
            "telephone_number": "310-328-8482",
            "fax_number": "310-320-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W 156TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494616",
            "telephone_number": "310-380-6884",
            "fax_number": "310-320-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHARU ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "MATHARU",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "310-328-8482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBHM"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.