Antioch Icf, Inc in Antioch - Intermediate Care Facility, Intellectual Disabilities
Antioch Icf, Inc - NPI 1073732673
Antioch Icf, Inc is a Intermediate Care Facility, Intellectual Disabilities in Antioch, California. Antioch Icf, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Antioch Icf, Inc is 1073732673. The last update date is 2020-08-22.
Antioch Icf, Inc's current location address is 1204 Putnam St, Antioch, California. You can contact this provider via phone number 9257550910 and fax number 9259789005. The mailing address for Antioch Icf, Inc is 1204 Putnam St, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antioch Icf, Inc |
|---|---|
| Address | 1204 Putnam St, Antioch, California |
| Phone Number | 9257550910 |
| Fax Number | 9259789005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Veridiano Tambot Rosemarie |
| Credentials | PHARMACIST |
| Telephone Number | 6505802983 |
NPI Number Detail
| NPI Number | 1073732673 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1204 Putnam St |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945095412 |
| Phone Number | 9257550910 |
| Fax Number | 9259789005 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55G218 | CA | LONG TERM CARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Antioch Icf, Inc?
The Antioch Icf, Inc has been issued the NPI (National Provider Identifier) 1073732673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Antioch Icf, Inc?
The Antioch Icf, Inc is physically situated at 1204 Putnam St, in the city of Antioch, state of CA, with the postal code 945095412.
What is the area of specialization for Antioch Icf, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Antioch Icf, Inc is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the Antioch Icf, Inc receive the assignment of its 1073732673 from the Centers for Medicare & Medicaid Services?
The Antioch Icf, Inc was issued its 1073732673 by the Centers for Medicare & Medicaid Services on 2007-04-24.
As of what date were the details pertaining to Antioch Icf, Inc last refreshed?
The information related to the Antioch Icf, Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA