Active NPI
C.L.O., Inc.
- Intellectual Disabilities Intermediate Care Facility
- Laguna Niguel, CA
National Provider Identifier
1689714214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LTC80101F | Medicaid | CA | |
| LTC80102F | Medicaid | CA | |
| LTC80112F | Medicaid | CA |
Other names 1
- Via Larga Place
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 DirectoryNPI 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.