Antioch Icf Inc in Antioch - Intermediate Care Facility, Intellectual Disabilities

Antioch Icf Inc - NPI 1538388038

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 1538388038. The last update date is 2020-08-22.

Antioch Icf Inc's current location address is 3359 S Francisco Way, Antioch, California. You can contact this provider via phone number 9257553447 and fax number 9259789005. The mailing address for Antioch Icf Inc is 3359 S Francisco Way, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Antioch Icf Inc
Address 3359 S Francisco Way, Antioch, California
Phone Number 9257553447
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 1538388038
Provider Enumeration Date 2007-04-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3359 S Francisco Way
City Antioch
State California (CA)
Post Code 945095434
Phone Number 9257553447
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
55G240 CA LONG TERM CARE

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FAQs about Antioch Icf Inc

What is the unique identifier code issued to Antioch Icf Inc by the Centers for Medicare & Medicaid Services?

The Antioch Icf Inc has been assigned the NPI (National Provider Identifier) 1538388038. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Antioch Icf Inc's facilities are geographically located?

The facilities of Antioch Icf Inc are physically situated at the following location: 3359 S Francisco Way, Antioch, CA, 945095434.

What is Antioch Icf Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Antioch Icf Inc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.

On what date was the 1538388038 assigned to Antioch Icf Inc?

The Antioch Icf Inc was issued its 1538388038 on 2007-04-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Antioch Icf Inc most recently updated or refreshed?

The details pertaining to the Antioch Icf Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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