MVM HOME NPI 1164681136

NPI Information

  • NPI: 1164681136
  • Provider Name: MVM HOME
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 607 E 228TH ST
    CARSON, CA
    ZIP 90745
  • Phone: (310) 522-0125

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NPI Details

MVM HOME is an intermediate care facility mentally retarded in Carson, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. MVM HOME NPI is 1164681136. The provider is registered as an organization entity type.

The provider's business location address is:

607 E 228TH ST
CARSON, CA
ZIP 90745-907
Phone: (310) 522-0125
Fax: (370) 518-5178

The provider's authorized official is Rosenda Chapman .
The authorized official title is Licensee Qmrp and has the following contact phone number (310) 522-0125.

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities960001035CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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