Model Residential Home, Inc.
NPI 1356619019 · 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 1356619019).
Provider details
- NPI number
- 1356619019
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Evelyn Moreno, Owner/Licensee(323) 254-3621
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
14 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
- Loleta Guest Home
Registry dates
- Enumerated
- 2011-12-09
- Last updated
- 2011-12-09
Frequently asked questions
- What is Model Residential Home, Inc.'s NPI number?
- Model Residential Home, Inc.'s National Provider Identifier (NPI) is 1356619019, 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 5129 Loleta Ave, Los Angeles, CA 90041-1501.
- 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, Owner/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 (1356619019) is active in the NPPES registry as of the last update on 2011-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.