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Organization

Habilitative Homes Residential Care Facility

NPI Record: ActiveAssisted Living Facility
NPI1891167912
Lakeside, California

Provider's NPPES record last updated: March 16, 2016

Overview

Entity Type
Organization
NPI
1891167912
Primary Specialty
Assisted Living Facility
Practice Location
Lakeside, California
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 4:13 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Assisted Living Facility

    Nursing & Custodial Care Facilities

    Primary

    A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

    Taxonomy code 310400000X
  • Assisted Living Facility

    Assisted Living, Behavioral Disturbances

    Nursing & Custodial Care Facilities

    A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

    Taxonomy code 3104A0630X
  • Custodial Care Facility

    Adult Care Home

    Nursing & Custodial Care Facilities

    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

    Taxonomy code 311ZA0620X
  • Community Based Residential Treatment Facility, Mental Illness

    Residential Treatment Facilities

    A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

    Taxonomy code 320800000X

Provider-Reported License Information

Assisted Living Facility (California)
374603669
Assisted Living Facility (California)
374603669
Custodial Care Facility (California)
374603669
Community Based Residential Treatment Facility, Mental Illness (California)
374603669
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

11775 Walnut Rd

Lakeside, California 92040-5624

Phone: (619) 270-4484

Record Information

Enumeration Date
October 28, 2015
Provider's NPPES Record Last Updated
March 16, 2016
NPISignal NPPES Dataset
August 2026

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