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Model Residential Home, Inc

Intellectual Disabilities Intermediate Care Facility in Los Angeles, CA · enumerated 2007 · authorized official Evelyn Moreno, Licensee.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073721288

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Model Residential Home, Inc
Other name <Unavail>
Practice address 2227 Laverna Ave, Los Angeles, CA, 90041
Fax (323) 254-3655
Enumeration date May 19, 2007
Last updated in NPPES Jun 19, 2008

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 960001042 (CA) Primary

Authorized official

Name Evelyn Moreno
Title Licensee

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Model Residential Home, Inc?
The NPI for Model Residential Home, Inc is 1073721288, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Model Residential Home, Inc?
NPPES lists Evelyn Moreno (Licensee) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-19.