Model Residential Home, Inc
NPI 1073721288 · Intellectual Disabilities Intermediate Care Facility · Los Angeles, CA
Model Residential Home, Inc is a Intellectual Disabilities Intermediate Care Facility organization in Los Angeles, CA (NPI 1073721288).
Provider details
- NPI number
- 1073721288
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Evelyn Moreno, Licensee(323) 254-3621
- License
- 960001042 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Laverna Guest Home
Registry dates
- Enumerated
- 2007-05-19
- Last updated
- 2008-06-19
Frequently asked questions
- What is Model Residential Home, Inc's NPI number?
- Model Residential Home, Inc's National Provider Identifier (NPI) is 1073721288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Model Residential Home, Inc?
- Model Residential Home, Inc is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Model Residential Home, Inc located?
- Model Residential Home, Inc's practice location on file with NPPES is 2227 Laverna Ave, Los Angeles, CA 90041-2624.
- What is Model Residential Home, Inc's phone number?
- The practice phone number listed in the NPPES registry for Model Residential Home, Inc is (323) 254-3621.
- Who is the authorized official for Model Residential Home, Inc?
- The authorized official listed on Model Residential Home, Inc's NPPES record is Evelyn Moreno, Licensee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Model Residential Home, Inc's NPI active?
- Yes — Model Residential Home, Inc's NPI (1073721288) is active in the NPPES registry as of the last update on 2008-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.