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MARY MOUNTAIN HOME CARE LLC
NPI 1457079675
In Home Supportive Care in Culver City, CA

Active since August 15, 2022
11203 MALAT WAY, CULVER CITY, CA 90230(818) 669-6780 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Mountain Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MOUNTAIN HOME CARE LLC (NPI 1457079675) is a healthcare organization registered as an in home supportive care in Culver City, California and active in the NPI registry since August 2022. The organization lists Angie Nance, President, as its authorized official.

NPPES Registry Identity

NPI1457079675
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameMARY MOUNTAIN HOME CARE LLC
Location Address11203 MALAT WAYCulver City, CA 90230-5501
Mailing Address3415 S Sepulveda Blvd Ste 1100Los Angeles, CA 90034-7090 · (888) 551-6557
Phone(818) 669-6780
Organization SubpartNo
Authorized OfficialAngie NancePresident · (818) 669-6780
Enumeration DateAugust 15, 2022
Last NPPES UpdateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1457079675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
11203 MALAT WAY, Culver City, CA 90230
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Mountain Home Care LLC's NPI number?

The NPI number for Mary Mountain Home Care LLC is 1457079675. It was assigned to this organization in the NPPES registry on August 15, 2022.

Where is Mary Mountain Home Care LLC located?

Mary Mountain Home Care LLC is located at 11203 Malat Way, Culver City, CA 90230. The listed phone number is (818) 669-6780.

What is Mary Mountain Home Care LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Mountain Home Care LLC was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.