OMEGA HOUSE
NPI 1386869584
Intermediate Care Facility, Intellectual Disabilities in Stockton, CA

Active since April 15, 2007CLIA 05D2000867 · Waiver
7830 OMEGA WAY, STOCKTON, CA 95212(209) 931-1027(209) 931-5516 Get Directions Write a Review

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

About Omega House NPPES

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

OMEGA HOUSE (NPI 1386869584) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Stockton, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Janet Rios, Owner, as its authorized official.

NPPES Registry Identity

NPI1386869584
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCASA DEL RIOS
Location Address7830 OMEGA WAYStockton, CA 95212-2902
Mailing Address5541 Solari Ranch RdStockton, CA 95215-9318 · (209) 931-1027 · Fax (209) 931-5516
Fax(209) 931-5516
Organization SubpartNo
Authorized OfficialJanet RiosOwner · (209) 931-1027
Enumeration DateApril 15, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1386869584 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.
7830 OMEGA WAY, Stockton, CA 95212

Other Names 1

Doing Business AsOmega House

Other Identifiers 1

MedicaidLTC60137GCA

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 05D2000867

Omega House · Stockton, CA
Active · expires Dec 7, 2027
CLIA Number05D2000867
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorPak Chan
Laboratory Phone(209) 954-0428
Laboratory LocationOmega House7830 Omega Way, Stockton, CA 95212
CLIA data matches this NPI record on: Address Name
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 Casa Del Rios's NPI number?

The NPI number for Casa Del Rios is 1386869584. It was assigned to this organization in the NPPES registry on April 15, 2007. The provider is doing business as Omega House.

Where is Casa Del Rios located?

Casa Del Rios is located at 7830 Omega Way, Stockton, CA 95212. The listed phone number is (209) 931-1027.

What is Casa Del Rios's specialty?

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

Does Casa Del Rios hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2000867) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Casa Del Rios 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.