CASA DEL RIOS NPI 1386869584

NPI Information

  • NPI: 1386869584
  • Provider Name: CASA DEL RIOS
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: OMEGA HOUSE
  • CLIA Number: 05D2000867
  • Address: 7830 OMEGA WAY
    STOCKTON, CA
    ZIP 95212
  • Phone: (209) 931-1027

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NPI Details

CASA DEL RIOS is an intermediate care facility mentally retarded in Stockton, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CASA DEL RIOS NPI is 1386869584. The provider is registered as an organization entity type.
The provider Is Doing Business As Omega House.

The provider's business location address is:

7830 OMEGA WAY
STOCKTON, CA
ZIP 95212-902
Phone: (209) 931-1027
Fax: (209) 931-5516

The provider's authorized official is Janet Rios .
The authorized official title is Owner and has the following contact phone number (209) 931-1027.

The CLIA number assigned to this NPI record is 05D2000867 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1LTC60137GMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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