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

Q: What is Model Residential Home, Inc.'s NPI number?

The NPI number for Model Residential Home, Inc. is 1356619019. It was assigned to this organization in the NPPES registry on December 9, 2011. The provider is doing business as Loleta Guest Home.

Q: 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.

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: August 16, 2026.

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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

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Other Names 1

Doing Business AsLoleta 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 1356619019. It was assigned to this organization in the NPPES registry on December 9, 2011. The provider is doing business as Loleta Guest Home.

Where is Model Residential Home, Inc. located?

Model Residential Home, Inc. is located at 5129 Loleta 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 December 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.