1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

LOLETA GUEST HOME
NPI 1356619019
Intermediate Care Facility, Intellectual Disabilities in Los Angeles, CA

Active since December 09, 2011
5129 LOLETA AVE, LOS ANGELES, CA 90041(323) 254-3621(323) 254-3655 Get Directions Write a Review

NPPES record last updated: December 9, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Loleta Guest Home NPPES

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

LOLETA GUEST HOME (NPI 1356619019) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Los Angeles, California and active in the NPI registry since December 2011. The organization lists Evelyn Moreno, Owner/licensee, as its authorized official.

NPPES Registry Identity

NPI1356619019
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameMODEL RESIDENTIAL HOME, INC.
Location Address5129 LOLETA AVELos Angeles, CA 90041-1501
Mailing Address1963 La Fremontia StSouth Pasadena, CA 91030-4226 · (323) 254-3621 · Fax (323) 254-3655
Phone(323) 254-3621
Fax(323) 254-3655
Organization SubpartNo
Authorized OfficialEvelyn MorenoOwner/licensee · (323) 254-3621
Enumeration DateDecember 9, 2011
✔ NPI 1356619019 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
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

5129 LOLETA AVE, Los Angeles, CA 90041
Open in Google Maps ↗

Other Names 1

Doing Business AsLoleta Guest Home

Reviews for LOLETA GUEST HOME

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is MODEL RESIDENTIAL HOME, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1356619019, enumerated as an "organization" on December 09, 2011.

Where is the provider located?

The provider is located at 5129 LOLETA AVE LOS ANGELES, CA 90041 and the phone number is (323) 254-3621.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.