LEADWELL CARE HOME, INC.
NPI 1356747059
Intermediate Care Facility, Intellectual Disabilities in Van Nuys, CA

Active since November 07, 2014CLIA 05D2081274 · Waiver
17256 LEADWELL ST, VAN NUYS, CA 91406(818) 625-8874 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Leadwell Care Home, Inc. NPPES

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

LEADWELL CARE HOME, INC. (NPI 1356747059) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Van Nuys, California and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Lovely Dadivas Ong, Licensee, as its authorized official.

NPPES Registry Identity

NPI1356747059
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLEADWELL CARE HOME, INC.
Location Address17256 LEADWELL STVan Nuys, CA 91406-2537
Mailing Address17256 Leadwell StVan Nuys, CA 91406-2537 · (818) 625-8874
Organization SubpartNo
Authorized OfficialLovely Dadivas OngLicensee · (818) 625-8874
Enumeration DateNovember 7, 2014
NPI 1356747059 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 · 550002447
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
17256 LEADWELL ST, Van Nuys, CA 91406

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2081274

Leadwell Care Home · Van Nuys, CA
Active · expires Jul 21, 2028
CLIA Number05D2081274
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorSiamak P. Etehad
Laboratory Phone(818) 625-8874
Laboratory LocationLeadwell Care Home17256 Leadwell St, Van Nuys, CA 91406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Leadwell Care Home, Inc.'s NPI number?

The NPI number for Leadwell Care Home, Inc. is 1356747059. It was assigned to this organization in the NPPES registry on November 7, 2014.

Where is Leadwell Care Home, Inc. located?

Leadwell Care Home, Inc. is located at 17256 Leadwell St, Van Nuys, CA 91406. The listed phone number is (818) 625-8874.

What is Leadwell Care Home, Inc.'s specialty?

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

Does Leadwell Care Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2081274) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leadwell Care Home, Inc. was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.