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REALITOS DIVISON
NPI 1912159385
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in La Verne, CA

Active since October 16, 2008
612 REALITOS DR, LA VERNE, CA 91750(909) 899-5046(909) 463-2005 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Realitos Divison NPPES

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

REALITOS DIVISON (NPI 1912159385) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in La Verne, California and active in the NPI registry since October 2008. The organization lists Deisy Odett Mendoza, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912159385
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameREALITOS DIVISON
Location Address612 REALITOS DRLa Verne, CA 91750-2844
Mailing Address13342 Victoria StRancho Cucamonga, CA 91739-2020 · (909) 899-5046 · Fax (909) 463-2005
Phone(909) 899-5046
Fax(909) 463-2005
Organization SubpartYesParent: Monte Vista Child Care Center
Authorized OfficialDeisy Odett MendozaExecutive Director · (909) 912-9314
Enumeration DateOctober 16, 2008
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1912159385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in CA · 960000953
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
612 REALITOS DR, La Verne, CA 91750
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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 Realitos Divison's NPI number?

The NPI number for Realitos Divison is 1912159385. It was assigned to this organization in the NPPES registry on October 16, 2008.

Where is Realitos Divison located?

Realitos Divison is located at 612 Realitos Dr, La Verne, CA 91750. The listed phone number is (909) 899-5046.

What is Realitos Divison's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Realitos Divison was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.