Loleta Guest Home

LBN: Model Residential Home, Inc.
Loleta Guest Home is an health care organization with primary practice located at 5129 Loleta Ave , Los Angeles CA 90041-1501. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Model Residential Home, Inc. can be contacted via phone (323) 254-3621, or through Moreno, Evelyn via phone (323) 254-3621.

Contact Information

Primary practice address
5129 Loleta Ave Los Angeles CA 90041-1501
Phone: (323) 254-3621
Fax: (323) 254-3655
Website:
Map and Directions
Authorized official contact:
Name: Moreno, Evelyn Registered Nurse (RN)
Phone: (323) 254-3621

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1356619019
LBN Legal business name Model Residential Home, Inc.
DBA Doing business as Loleta Guest Home
Authorized official Moreno, Evelyn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2011
Last updated Dec 9th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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