NPI Information

  • NPI: 1679396352
  • Provider Name: COLTIN CARE HOMES LLC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • CLIA Number: 05D2326700
  • Address: 1616 N ENCINA AVE
    RIALTO, CA
    ZIP 92376
  • Phone: (818) 307-3675

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NPI Details

COLTIN CARE HOMES LLC is an intermediate care facility mentally retarded in Rialto, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COLTIN CARE HOMES LLC NPI is 1679396352. The provider is registered as an organization entity type.

The provider's business location address is:

1616 N ENCINA AVE
RIALTO, CA
ZIP 92376-911
Phone: (818) 307-3675

The provider's authorized official is Davit Zargaryan .
The authorized official title is Manager and has the following contact phone number (818) 307-3675.

The CLIA number assigned to this NPI record is 05D2326700 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2024 and was last updated on 11/1/2024.

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
1313M00000XNursing Facility/Intermediate Care FacilityNo
2315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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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