Organization Active NPI

Casa del Rios

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1386869584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CASA DEL RIOS
Doing business as
Omega House
Practice address
7830 Omega Way
Stockton, CA 95212-2902
Phone
(209) 931-1027
Fax
(209) 931-5516
NPI assigned
Apr 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Janet Rios, RN
Title
Owner
Phone
(209) 931-1027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

7830 Omega Way
Stockton, CA 95212-2902

Mailing address

5541 Solari Ranch Rd
Stockton, CA 95215-9318
Phone (209) 931-1027

Other identifiers 1

IdentifierTypeStateIssuer
LTC60137GMedicaidCA

Other names 1

  • Omega House Doing business as

Medicare participation

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 05G182

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
OMEGA HOUSE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 15, 1985
Last certification
May 29, 2025
Beds
6
Ownership / control type
Private (proprietary)
Facility address
7830 Omega Way
Stockton, CA 95212

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2000867Omega House7830 Omega Way, Stockton, CA 95212Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Casa del Rios2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5541 Solari Ranch Rd
Stockton, CA 95215
Phone (209) 931-1027

NPI Registry JSON

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386869584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 SOLARI RANCH RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952159318",
            "telephone_number": "209-931-1027",
            "fax_number": "209-931-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 OMEGA WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952122902",
            "telephone_number": "209-931-1027",
            "fax_number": "209-931-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DEL RIOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-931-1027",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60137G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.