Active NPI
Matoda Inc
Doing business as Palms Court I
- Assisted Living Facility
- Carmichael, CA
National Provider Identifier
1477315497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MATODA INC
- Doing business as
- Palms Court I
- Practice address
- 6821 Lincoln Ave
Carmichael, CA 95608-1951 - Phone
- (559) 349-3076
- NPI assigned
- Jan 25, 2024
- 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
- Adeola Ogundiwin, RN
- Title
- Administrator
- Phone
- (559) 349-3076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6821 Lincoln Ave
Carmichael, CA 95608-1951
Mailing address
6821 Lincoln Ave
Carmichael, CA 95608-1951
Phone (559) 349-3076
Other names 1
- Palms Court I
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706140800000",
"number": "1477315497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6821 LINCOLN AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956081951",
"telephone_number": "559-349-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6821 LINCOLN AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956081951",
"telephone_number": "559-349-3076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATODA INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A",
"authorized_official_last_name": "OGUNDIWIN",
"authorized_official_first_name": "ADEOLA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "559-349-3076",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Palms Court I",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.