OrganizationActive
Lavender Rise Homes LLC
NPI 1851042444 · Intellectual Disabilities Intermediate Care Facility · Loma Linda, CA
Provider details
- NPI number
- 1851042444
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Octavia Brown, Ceo(310) 968-5849
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
10713 Mountain View Ave
Loma Linda, CA 92354-2519
Phone: (310) 968-5849
Street-level locationGet directions
Mailing address
Po Box 1361
Littlerock, CA 93543-5361
Other names (DBA / former)
- Doing business as
- Lavender Rise Homes LLC
Registry dates
- Enumerated
- 2022-01-14
- Last updated
- 2022-01-14
- Certified
- 2022-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.