Organization Active NPI

His Daughters House

  • Lodging Provider
  • Riverside, CA
National Provider Identifier
1578025102
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
HIS DAUGHTERS HOUSE
Practice address
11741 Sterling Ave Ste C2
Riverside, CA 92503-4954
Phone
(951) 729-6282
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Adrianne Mason
Title
Ceo
Phone
(951) 729-6282

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Lodging Provider 177F00000X Primary
Case Management Agency 251B00000X
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X
Point of Service 305S00000X
Non-Pharmacy Dispensing Site 332900000X
Home Delivered Meals 332U00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

11741 Sterling Ave Ste C2
Riverside, CA 92503-4954

Mailing address

3870 La Sierra Ave Unit 204
Riverside, CA 92505-3528
Phone (562) 572-9827

Other practice location 1

11681 Sterling Ave Ste I
Riverside, CA 92503-4972
Phone (951) 729-6282

Other practice location 2

3780 Kilroy Airport Way
Suite 700
Riverside, CA 92505-3528
Phone (562) 572-9827

Other identifiers 1

IdentifierTypeStateIssuer
0000000OtherNOT APPLICABLE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260522002755 CA Part B Supplier - Clinic/Group Practice 4284104910 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

10411 Hole Ave
Riverside, CA 92505

11741 Sterling Ave
Ste C2
Riverside, CA 92503
Phone (951) 729-6282

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1578025102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 LA SIERRA AVE UNIT 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053528",
            "telephone_number": "562-572-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 STERLING AVE STE C2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034954",
            "telephone_number": "951-729-6282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11681 Sterling Ave Ste I",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925034972",
            "country_code": "US",
            "telephone_number": "951-729-6282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3780 Kilroy Airport Way",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053528",
            "country_code": "US",
            "telephone_number": "562-572-9827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIS DAUGHTERS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-729-6282"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT APPLICABLE",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.