HABILITATIVE HOMES RESIDENTIAL CARE FACILITY
NPI 1891167912
Assisted Living Facility in Lakeside, CA

Q: What is Habilitative Homes Residential Care Facility's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since October 28, 2015

11775 WALNUT RD, LAKESIDE, CA 92040(619) 270-4484 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Habilitative Homes Residential Care Facility NPPES

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

HABILITATIVE HOMES RESIDENTIAL CARE FACILITY (NPI 1891167912) is a healthcare organization registered as an assisted living facility in Lakeside, California and active in the NPI registry since October 2015. The organization lists David Clarence Larson, Licenee/owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1891167912

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHABILITATIVE HOMES RESIDENTIAL CARE FACILITY

Location Address11775 WALNUT RDLakeside, CA 92040-5624

Mailing Address11775 Walnut RoadLakeside, CA 92040 · (619) 270-4484

Phone(619) 270-4484

Organization SubpartNo

Authorized OfficialDavid Clarence LarsonLicenee/owner/administrator · (619) 456-3742

Enumeration DateOctober 28, 2015

Last NPPES UpdateMarch 16, 2016

✔ NPI 1891167912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 374603669

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X · License 374603669 (CA)

Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License 374603669 (CA)

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License 374603669 (CA)

11775 WALNUT RD, Lakeside, CA 92040

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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 Habilitative Homes Residential Care Facility's NPI number?

The NPI number for Habilitative Homes Residential Care Facility is 1891167912. It was assigned to this organization in the NPPES registry on October 28, 2015.

Where is Habilitative Homes Residential Care Facility located?

Habilitative Homes Residential Care Facility is located at 11775 Walnut Rd, Lakeside, CA 92040. The listed phone number is (619) 270-4484.

What is Habilitative Homes Residential Care Facility's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Habilitative Homes Residential Care Facility was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.