COLTIN CARE HOMES LLC
NPI 1679396352
Intermediate Care Facility, Intellectual Disabilities in Rialto, CA

Active since November 01, 2024CLIA 05D2326700 · Waiver
1616 N ENCINA AVE, RIALTO, CA 92376(818) 307-3675 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coltin Care Homes Llc NPPES

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

COLTIN CARE HOMES LLC (NPI 1679396352) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Rialto, California and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Davit Zargaryan, Manager, as its authorized official.

NPPES Registry Identity

NPI1679396352
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCOLTIN CARE HOMES LLC
Location Address1616 N ENCINA AVERialto, CA 92376-2911
Mailing Address1616 N Encina AveRialto, CA 92376-2911
Organization SubpartNo
Authorized OfficialDavit ZargaryanManager · (818) 307-3675
Enumeration DateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
NPI 1679396352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
1616 N ENCINA AVE, Rialto, CA 92376

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 05D2326700

Coltin Care Homes LLC · Rialto, CA
Active · expires Jul 7, 2027
CLIA Number05D2326700
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorManuel Manrique
Laboratory Phone(818) 307-3675
Laboratory LocationColtin Care Homes LLC1616 N Encina Ave, Rialto, CA 92376
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 Coltin Care Homes LLC's NPI number?

The NPI number for Coltin Care Homes LLC is 1679396352. It was assigned to this organization in the NPPES registry on November 1, 2024.

Where is Coltin Care Homes LLC located?

Coltin Care Homes LLC is located at 1616 N Encina Ave, Rialto, CA 92376. The listed phone number is (818) 307-3675.

What is Coltin Care Homes LLC's specialty?

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

Does Coltin Care Homes LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2326700) is associated with this NPI, valid through July 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 Coltin Care Homes LLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.