Organization Active NPI

C.L.O., Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Laguna Niguel, CA
National Provider Identifier
1689714214
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
C.L.O., INC.
Practice address
24761 Via Larga
Laguna Niguel, CA 92677-1933
Phone
(949) 458-1881
Fax
(949) 581-4959
NPI assigned
Feb 6, 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
Terry L Ward
Title
Chief Financial Officer
Phone
(949) 458-1881

Specialties & licenses 3

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

Addresses

Primary practice location

24761 Via Larga
Laguna Niguel, CA 92677-1933

Mailing address

24761 Via Larga
Laguna Niguel, CA 92677-1933
Phone (949) 458-1881

Other identifiers 3

IdentifierTypeStateIssuer
LTC80101FMedicaidCA
LTC80102FMedicaidCA
LTC80112FMedicaidCA

Other names 1

  • Via Larga Place 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 05G861

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
VIA LARGA PLACE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 19, 1995
Last certification
Aug 7, 2025
Beds
6
Ownership / control type
Private (proprietary)
Most recent change of ownership
Oct 19, 2011
Facility address
24761 Via Larga
Laguna Niguel, CA 92677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689714214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24761 VIA LARGA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771933",
            "telephone_number": "949-458-1881",
            "fax_number": "949-581-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24761 VIA LARGA",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771933",
            "telephone_number": "949-458-1881",
            "fax_number": "949-581-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.L.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-458-1881"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80101F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80102F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC80112F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Via Larga Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.