Antelope Hills Manor Icf Dd-N Inc. in Antelope - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Antelope Hills Manor Icf Dd-N Inc. - NPI 1205002904
Antelope Hills Manor Icf Dd-N Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Antelope, California. Antelope Hills Manor Icf Dd-N Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Antelope Hills Manor Icf Dd-N Inc. is 1205002904. The last update date is 2008-05-02.
Antelope Hills Manor Icf Dd-N Inc.'s current location address is 7704 Antelope Hills Dr, Antelope, California. You can contact this provider via phone number 9167211517 and fax number 9167210762. The mailing address for Antelope Hills Manor Icf Dd-N Inc. is 7704 Antelope Hills Dr, Antelope, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antelope Hills Manor Icf Dd-N Inc. |
|---|---|
| Address | 7704 Antelope Hills Dr, Antelope, California |
| Phone Number | 9167211517 |
| Fax Number | 9167210762 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ranit Gagante Antonio |
| Credentials | RN |
| Telephone Number | 9167219439 |
NPI Number Detail
| NPI Number | 1205002904 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 7704 Antelope Hills Dr |
|---|---|
| City | Antelope |
| State | California (CA) |
| Post Code | 958432491 |
| Phone Number | 9167211517 |
| Fax Number | 9167210762 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 550000069 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LTC80373F | CA | CALIFORNIA MEDI-CAL |
Post Comment/ Review Below
What is the unique identification code assigned to Antelope Hills Manor Icf Dd-N Inc. by the Centers for Medicare & Medicaid Services?
The Antelope Hills Manor Icf Dd-N Inc. has been issued the NPI (National Provider Identifier) 1205002904. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Antelope Hills Manor Icf Dd-N Inc. is located?
The Antelope Hills Manor Icf Dd-N Inc. is situated at the following address: 7704 Antelope Hills Dr, Antelope, CA, 958432491.
What is the Antelope Hills Manor Icf Dd-N Inc.'s specialty and taxonomy code?
The Antelope Hills Manor Icf Dd-N Inc.'s specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date did the Antelope Hills Manor Icf Dd-N Inc. receive the assignment of its 1205002904 from the Centers for Medicare & Medicaid Services?
The Antelope Hills Manor Icf Dd-N Inc. was issued its 1205002904 by the Centers for Medicare & Medicaid Services on 2008-05-02.
As of what date were the details related to Antelope Hills Manor Icf Dd-N Inc. most recently updated or revised?
The information pertaining to Antelope Hills Manor Icf Dd-N Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-05-02.
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