Organization Active NPI

Taelor Made Housing LLC

  • Meals Provider
  • Stockton, CA
National Provider Identifier
1902663867
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
TAELOR MADE HOUSING LLC
Practice address
1836 Torrey Pines CT
Stockton, CA 95206-2883
Phone
(510) 224-2949
NPI assigned
Mar 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Marshae RhymesNPI 1750148615
Title
Owner
Phone
(510) 224-2949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

1836 Torrey Pines CT
Stockton, CA 95206-2883

Mailing address

1836 Torrey Pines CT
Stockton, CA 95206-2883
Phone (510) 224-2949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1902663867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 TORREY PINES CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062883",
            "telephone_number": "510-224-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 TORREY PINES CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952062883",
            "telephone_number": "510-224-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAELOR MADE HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "RHYMES",
        "authorized_official_first_name": "MARSHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-224-2949"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.