Antioch Icf Inc in Antioch - Intermediate Care Facility, Intellectual Disabilities
Antioch Icf Inc - NPI 1629297122
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 1629297122. The last update date is 2020-08-22.
Antioch Icf Inc's current location address is 1228 Putnam St, Antioch, California. You can contact this provider via phone number 9257546872 and fax number 9259789005. The mailing address for Antioch Icf Inc is 1228 Putnam St, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antioch Icf Inc |
|---|---|
| Address | 1228 Putnam St, Antioch, California |
| Phone Number | 9257546872 |
| 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 | 1629297122 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1228 Putnam St |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945095412 |
| Phone Number | 9257546872 |
| 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 |
|---|---|---|---|
| 55G323 | CA | LONG TERM CARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Antioch Icf Inc by the Centers for Medicare & Medicaid Services?
The Antioch Icf Inc has been issued the NPI (National Provider Identifier) 1629297122 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Antioch Icf Inc's facilities are situated?
The facilities of Antioch Icf Inc are physically located at the following address: 1228 Putnam St, Antioch, CA, 945095412.
What is the Antioch Icf Inc's specialty and taxonomy code?
The Antioch Icf Inc's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
On what date did Antioch Icf Inc receive its 1629297122 assignment from the Centers for Medicare & Medicaid Services?
The Antioch Icf Inc was assigned its 1629297122 on 2007-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
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.