Active NPI
Genmar Homes, Inc.
- Nursing Facility/Intermediate Care Facility
- Los Angeles, CA
National Provider Identifier
1356790786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 00000
- Legal business name
- GENMAR HOMES, INC.
- Practice address
- 1948 Thoreau St
Los Angeles, CA 90047-4725 - Phone
- (323) 755-7121
- Fax
- (323) 755-7122
- NPI assigned
- Jun 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugene Hardin, M.D.
- Title
- President/Ceo
- Phone
- (310) 739-3585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 00000 | CA | Primary |
Addresses
Primary practice location
1948 Thoreau St
Los Angeles, CA 90047-4725
Mailing address
14901 Condon Ave
Lawndale, CA 90260-1216
Phone (323) 755-7121
Other names 1
- Thoreau House II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G597
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- THOREAU HOUSE II
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jul 29, 1992
- Last certification
- Mar 13, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 1948 Thoreau St
Los Angeles, CA 90047
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2182867 | Thoreau House II | Certificate of waiver | Apr 26, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Genmar Homes Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Los Angeles, CA
- NPI 1710334487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1356790786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14901 CONDON AVE",
"city": "LAWNDALE",
"state": "CA",
"postal_code": "902601216",
"telephone_number": "323-755-7121",
"fax_number": "323-755-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1948 THOREAU ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900474725",
"telephone_number": "323-755-7121",
"fax_number": "323-755-7122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENMAR HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "HARDIN",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "310-739-3585",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "CA",
"license": "00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thoreau House II",
"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 Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.