Zuha Homes, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ZUHA HOMES, INC

Doing business as

Cobblestone House

Practice address

13881 Cobblestone CT
Fontana, CA 92335-0504

Phone

(909) 258-6349

Fax

(909) 874-6711

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Sriadi Sutjiningsih

Title

Vice President

Phone

(909) 258-6349

Specialties & licenses 1

Addresses

Other names 1

• COBBLESTONE HOUSE Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G725

Legal name

COBBLESTONE HOUSE

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 5, 2015

Last certification

Oct 22, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

13881 Cobblestone Court
Fontana, CA 92335

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Zuha Homes Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Zuha Homes, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • La Verne, CA
  • NPI 1487152989
  NPD tax ID
• Zuha Homes, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • La Verne, CA
  • NPI 1588162986
  NPD tax ID
• Zuha Homes, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • La Verne, CA
  • NPI 1679071070
  NPD tax ID

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1295151710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13881 COBBLESTONE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350504",
            "telephone_number": "909-258-6349",
            "fax_number": "909-874-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13881 COBBLESTONE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350504",
            "telephone_number": "909-258-6349",
            "fax_number": "909-874-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUHA HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "SUTJININGSIH",
        "authorized_official_first_name": "SRIADI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-258-6349"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COBBLESTONE HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Jean Zimmermann, IBCLC
• Ernest A. Zinke, MD
• Yiyang Zou, DMD
• Ivan Zubkov, M.D.
• Ashley R Zucker, M.D.
• Zunong Zulihuma, RDN
• Mikaela Zuniga, DSW, LMFT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fontana, CA
• Providers in Fontana, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.