Provider Demographics
NPI:1083593289
Name:R H.O.M.E TRANSITIONAL HOUSING LLC.
Entity type:Organization
Organization Name:R H.O.M.E TRANSITIONAL HOUSING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TOYA
Authorized Official - Middle Name:T
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-394-8083
Mailing Address - Street 1:4267 MAIN ST # A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-3847
Mailing Address - Country:US
Mailing Address - Phone:951-259-0145
Mailing Address - Fax:
Practice Address - Street 1:1300 MALABAR WAY
Practice Address - Street 2:
Practice Address - City:BIG BEAR CITY
Practice Address - State:CA
Practice Address - Zip Code:92314-9216
Practice Address - Country:US
Practice Address - Phone:951-394-8083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility