Organization Active NPI

Matoda Inc

Doing business as Palms Court I

  • Assisted Living Facility
  • Carmichael, CA
National Provider Identifier
1477315497
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jan 25, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.