Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Habilitative Homes Residential Care Facility

Organization Assisted Living Facility · NPI 1891167912

Habilitative Homes Residential Care Facility is an Assisted Living Facility in Lakeside, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
4

Practice location Address checks out

11775 Walnut Rd
Lakeside, CA 92040-5624
Phone: (619) 270-4484
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 374603669 (CA)
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X · Licence 374603669 (CA)
Adult Care Home Facility Taxonomy 311ZA0620X · Licence 374603669 (CA)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence 374603669 (CA)

Record details

NPI number1891167912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Larson — Licenee/Owner/Administrator · (619) 456-3742
NPI enumeratedOctober 28, 2015
Last updated in NPPESMarch 16, 2016
Mailing address11775 Walnut Road, Lakeside, CA 92040

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