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LAVERNA GUEST HOME
NPI 1073721288
Intermediate Care Facility, Intellectual Disabilities in Los Angeles, CA

Active since May 19, 2007
2227 LAVERNA AVE, LOS ANGELES, CA 90041(323) 254-3621(323) 254-3655 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Laverna Guest Home NPPES

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

LAVERNA GUEST HOME (NPI 1073721288) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Los Angeles, California and active in the NPI registry since May 2007. The organization lists Evelyn Moreno, Licensee, as its authorized official.

NPPES Registry Identity

NPI1073721288
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMODEL RESIDENTIAL HOME, INC
Location Address2227 LAVERNA AVELos Angeles, CA 90041-2624
Mailing Address2227 Laverna AveLos Angeles, CA 90041-2624 · (323) 254-3621
Phone(323) 254-3621
Fax(323) 254-3655
Organization SubpartNo
Authorized OfficialEvelyn MorenoLicensee · (323) 254-3621
Enumeration DateMay 19, 2007
Last NPPES UpdateJune 19, 2008
✔ NPI 1073721288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in CA · 960001042
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2227 LAVERNA AVE, Los Angeles, CA 90041
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Other Names 1

Doing Business AsLaverna Guest Home

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 Model Residential Home, Inc's NPI number?

The NPI number for Model Residential Home, Inc is 1073721288. It was assigned to this organization in the NPPES registry on May 19, 2007. The provider is doing business as Laverna Guest Home.

Where is Model Residential Home, Inc located?

Model Residential Home, Inc is located at 2227 Laverna Ave, Los Angeles, CA 90041. The listed phone number is (323) 254-3621.

What is Model Residential Home, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Model Residential Home, Inc was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.