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MILES RAE LANE HOUSE
NPI 1225236953
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Novato, CA

Active since July 03, 2007

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miles Rae Lane House NPPES

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

MILES RAE LANE HOUSE (NPI 1225236953) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Novato, California and active in the NPI registry since July 2007. The organization lists Nancy Dale Lloyd, General Partner, as its authorized official.

NPPES Registry Identity

NPI1225236953
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMILES RAE LANE HOUSE
Location Address858 RAE LNNovato, CA 94947-2049
Mailing Address1649 Center RdNovato, CA 94947-3941 · (415) 897-3138
Phone(415) 897-3138
Organization SubpartNo
Authorized OfficialNancy Dale LloydGeneral Partner · (415) 897-3138
Enumeration DateJuly 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225236953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in CA · 05G790
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
858 RAE LN, Novato, CA 94947
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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 Miles Rae Lane House's NPI number?

The NPI number for Miles Rae Lane House is 1225236953. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Miles Rae Lane House located?

Miles Rae Lane House is located at 858 Rae Ln, Novato, CA 94947. The listed phone number is (415) 897-3138.

What is Miles Rae Lane House's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Miles Rae Lane House was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.