Organization Active NPI

Matima's Nurses Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Darby, PA
National Provider Identifier
1669169678
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
MATIMA'S NURSES INC
Practice address
873 Main St
Darby, PA 19023-2105
Phone
(267) 671-9912
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Mary Koroma
Title
Ceo
Phone
(267) 671-9912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

873 Main St
Darby, PA 19023-2105

Mailing address

873 Main St
Darby, PA 19023-2105
Phone (267) 671-9912

Other names 1

  • MATIMA'S NURSES INC Former legal business name

National Provider Directory

National Provider Directory

Locations

873 Main St
Darby, PA 19023
Phone (267) 671-9912

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1669169678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190232105",
            "telephone_number": "267-671-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190232105",
            "telephone_number": "267-671-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATIMA'S NURSES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "KOROMA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-671-9912"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATIMA'S NURSES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.