Organization Active NPI

Magnusson Enterprises LLC

  • In Home Supportive Care Agency
  • San Mateo, CA
National Provider Identifier
1942843115
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAGNUSSON ENTERPRISES LLC
Practice address
36 42ND Ave
San Mateo, CA 94403-5109
Phone
(650) 343-6770
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Mr. Nicholas Magnusson, MBA, BSN, RN
Title
Manager and Principal
Phone
(650) 653-1934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

36 42ND Ave
San Mateo, CA 94403-5109

Mailing address

36 42ND Ave
San Mateo, CA 94403-5109
Phone (650) 343-6770

Other names 1

  • Senior Helpers of the Peninsula Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmagnusson@seniorhelpers.com Direct

National Provider Directory

National Provider Directory

Locations

36 42nd Ave
San Mateo, CA 94403
Phone (650) 343-6770

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1942843115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 42ND AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944035109",
            "telephone_number": "650-343-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 42ND AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944035109",
            "telephone_number": "650-343-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUSSON ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "MAGNUSSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MANAGER AND PRINCIPAL",
        "authorized_official_telephone_number": "650-653-1934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmagnusson@seniorhelpers.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "36 42nd Ave",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944035109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Senior Helpers of the Peninsula",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.