Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Mountain Home Care LLC

Organization In Home Supportive Care Agency · NPI 1457079675

Mary Mountain Home Care LLC is an In Home Supportive Care Agency in Culver City, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11203 Malat Way
Culver City, CA 90230-5501
Phone: (818) 669-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1457079675
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angie Nance — President · (818) 669-6780
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address3415 S Sepulveda Blvd Ste 1100, Los Angeles, CA 90034-7090

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