NPIMap

Organization Active NPI

Genmar Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1710334487
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
00000 Issued in CA
Legal business name
GENMAR HOMES, INC.
Practice address
1942 Thoreau St
Los Angeles, CA 90047-4725
Phone
(323) 755-7105
Fax
(323) 755-7106
NPI assigned
May 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Dr. Eugene Hardin, M.D.
Title
President/Ceo
Phone
(310) 739-3585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 00000 CA Primary

Addresses

Primary practice location

1942 Thoreau St
Los Angeles, CA 90047-4725

Mailing address

14901 Condon Ave
Lawndale, CA 90260-1216
Phone (323) 755-7105

Other names 1

  • Thoreau House I Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G848

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THOREAU HOUSE I
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 31, 1995
Last certification
May 29, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
1942 Thoreau Street
Los Angeles, CA 90047

National Provider Directory

National Provider Directory
Tax ID family
Genmar Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1710334487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 CONDON AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601216",
            "telephone_number": "323-755-7105",
            "fax_number": "323-755-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 THOREAU ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474725",
            "telephone_number": "323-755-7105",
            "fax_number": "323-755-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENMAR HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-739-3585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thoreau House I",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.