Organization Active NPI

My Brother'S House

  • Community Based Hospice Care Agency
  • Orangevale, CA
National Provider Identifier
1588515662
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MY BROTHER'S HOUSE
Practice address
8501 Oakcreek Cove Way
Orangevale, CA 95662-6003
Phone
(916) 812-8955
Fax
(916) 812-8955
NPI assigned
Feb 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Mary Mata, RN MSA BSN
Title
Administrator
Phone
(916) 812-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

8501 Oakcreek Cove Way
Orangevale, CA 95662-6003

Mailing address

8501 Oakcreek Cove Way
Orangevale, CA 95662-6003
Phone (916) 812-8955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1588515662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 OAKCREEK COVE WAY",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956626003",
            "telephone_number": "916-812-8955",
            "fax_number": "916-812-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 OAKCREEK COVE WAY",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956626003",
            "telephone_number": "916-812-8955",
            "fax_number": "916-812-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BROTHER'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-812-8055",
        "authorized_official_credential": "RN MSA BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.