Organization Active NPI

MGH Corporation

  • Nursing Facility/Intermediate Care Facility
  • Los Angeles, CA
National Provider Identifier
1992921571
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MGH CORPORATION
Practice address
1217 W 101St St
Los Angeles, CA 90044-1801
Phone
(323) 754-9051
Fax
(323) 754-8832
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Stephanie Weathersby
Title
Secretary
Phone
(323) 754-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X CA Primary

Addresses

Primary practice location

1217 W 101St St
Los Angeles, CA 90044-1801

Mailing address

1202 W 101St St
Los Angeles, CA 90044-1802
Phone (323) 754-1408

Other names 1

  • BRITTNEY'S PLACE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1992921571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W 101ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900441802",
            "telephone_number": "323-754-1408",
            "fax_number": "323-754-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W 101ST ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900441801",
            "telephone_number": "323-754-9051",
            "fax_number": "323-754-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "WEATHERSBY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "323-754-1408"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRITTNEY'S PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.