NPIMap

Organization Active NPI

C & R Guest Homes, Inc.

Doing business as Monticello Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Buena Park, CA
National Provider Identifier
1083859094
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
5550000600 Issued in CA
Legal business name
C & R GUEST HOMES, INC.
Doing business as
Monticello Home
Practice address
5581 Monticello Ave
Buena Park, CA 90621-1543
Phone
(714) 670-1139
Fax
(714) 739-4371
NPI assigned
Dec 4, 2008
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rosalinda C Ulit
Title
Licensee/Administrator
Phone
(714) 496-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 5550000600 CA Primary

Addresses

Primary practice location

5581 Monticello Ave
Buena Park, CA 90621-1543

Mailing address

7694 Heather Cir
Buena Park, CA 90620-1924
Phone (714) 496-9990

Other names 1

  • Monticello Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083859094. Details of each certification follow.

  • CCN 55G617 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G617

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MONTICELLO HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 23, 2008
Last certification
Jun 19, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
5581 Monticello Avenue
Buena Park, CA 90621

National Provider Directory

National Provider Directory
Tax ID family
C R Guest Homes Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1083859094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7694 HEATHER CIR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201924",
            "telephone_number": "714-496-9990",
            "fax_number": "714-739-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5581 MONTICELLO AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211543",
            "telephone_number": "714-670-1139",
            "fax_number": "714-739-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & R GUEST HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "ULIT",
        "authorized_official_first_name": "ROSALINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "714-496-9990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "5550000600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monticello Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.