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

Model Residential Home, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1356619019

Model Residential Home, Inc is an Intellectual Disabilities Intermediate Care Facility in Los Angeles, California. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5129 Loleta Ave
Los Angeles, CA 90041-1501
Phone: (323) 254-3621
Fax: (323) 254-3655
Show map & directions

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

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X

Record details

NPI number1356619019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Evelyn Moreno — Owner/Licensee · (323) 254-3621
Other names Loleta Guest Home
NPI enumeratedDecember 9, 2011
Last updated in NPPESDecember 9, 2011
Mailing address1963 La Fremontia St, South Pasadena, CA 91030-4226

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