ANTIOCH ICF INC NPI 1538388038

NPI Information

NPI: 1538388038
Provider Name: ANTIOCH ICF INC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Doing Business As: FRANCISCO ICF
Address: 3359 S FRANCISCO WAY
ANTIOCH, CA
ZIP 94509
Phone: (925) 755-3447

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NPI Details

ANTIOCH ICF INC is an intermediate care facility mentally retarded in Antioch, CA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ANTIOCH ICF INC NPI is 1538388038. The provider is registered as an organization entity type.
The provider Is Doing Business As Francisco Icf.

The provider's business location address is:

3359 S FRANCISCO WAY
ANTIOCH, CA
ZIP 94509-434
Phone: (925) 755-3447
Fax: (925) 978-9005

The provider's authorized official is Rosemarie Tambot Veridiano .
The authorized official title is PRESIDENT ADMINISTRATORAdministrator and has the following contact phone number (650) 580-2983.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities			CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	55G240	OTHER	CALIFORNIA	LONG TERM CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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