Model Residential Home, Inc in Los Angeles - Intermediate Care Facility, Intellectual Disabilities
Model Residential Home, Inc - NPI 1073721288
Model Residential Home, Inc is a Intermediate Care Facility, Intellectual Disabilities in Los Angeles, California. Model Residential Home, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Model Residential Home, Inc is 1073721288. The last update date is 2008-06-19.
Model Residential Home, Inc's current location address is 2227 Laverna Ave, Los Angeles, California. You can contact this provider via phone number 3232543621. The mailing address for Model Residential Home, Inc is 2227 Laverna Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Model Residential Home, Inc |
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Address | 2227 Laverna Ave, Los Angeles, California |
Phone Number | 3232543621 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | LICENSEE |
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Authorized Official Name | Moreno Evelyn |
Telephone Number | 3232543621 |
NPI Number Detail
NPI Number | 1073721288 |
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Provider Enumeration Date | 2007-05-19 |
Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
Address | 2227 Laverna Ave |
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City | Los Angeles |
State | California (CA) |
Post Code | 900412624 |
Phone Number | 3232543621 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 960001042 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identifier code issued to Model Residential Home, Inc by the Centers for Medicare & Medicaid Services?
The Model Residential Home, Inc has been assigned the NPI (National Provider Identifier) 1073721288 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Model Residential Home, Inc is geographically located?
The Model Residential Home, Inc is physically situated at the following location: 2227 Laverna Ave, Los Angeles, CA, 900412624.
What is Model Residential Home, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Model Residential Home, Inc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
When did the Model Residential Home, Inc receive its 1073721288?
The Model Residential Home, Inc was issued its 1073721288 on 2007-05-19, which is the date when the organization was assigned this unique identifier.
When was the information regarding Model Residential Home, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Model Residential Home, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-19.