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LAVENDER RISE HOMES LLC
NPI 1851042444
Intermediate Care Facility, Intellectual Disabilities in Loma Linda, CA

Active since January 14, 2022
10713 MOUNTAIN VIEW AVE, LOMA LINDA, CA 92354(310) 968-5849 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lavender Rise Homes Llc NPPES

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

LAVENDER RISE HOMES LLC (NPI 1851042444) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Loma Linda, California and active in the NPI registry since January 2022. The organization lists Octavia Brown, Ceo, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1851042444
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLAVENDER RISE HOMES LLC
Location Address10713 MOUNTAIN VIEW AVELoma Linda, CA 92354-2519
Mailing AddressPo Box 1361Littlerock, CA 93543-5361 · (310) 968-5849
Phone(310) 968-5849
Organization SubpartNo
Authorized OfficialOctavia BrownCeo · (310) 968-5849
Enumeration DateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
✔ NPI 1851042444 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.

10713 MOUNTAIN VIEW AVE, Loma Linda, CA 92354
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Other Names 1

Doing Business AsLavender Rise Homes Llc

Reviews for LAVENDER RISE HOMES LLC

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Frequently Asked Questions

What is LAVENDER RISE HOMES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1851042444, enumerated as an "organization" on January 14, 2022.

Where is the provider located?

The provider is located at 10713 MOUNTAIN VIEW AVE LOMA LINDA, CA 92354 and the phone number is (310) 968-5849.

What is the provider's specialty?

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