Putnam West Icf

LBN: Antioch Icf Inc
Putnam West Icf is an health care organization with primary practice located at 1228 Putnam St , Antioch CA 94509-5412. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Antioch Icf Inc can be contacted via phone (925) 754-6872, or through Veridiano, Rosemarie Tambot via phone (650) 580-2983.

Contact Information

Primary practice address
1228 Putnam St Antioch CA 94509-5412
Phone: (925) 754-6872
Fax: (925) 978-9005
Website:
Map and Directions
Authorized official contact:
Name: Veridiano, Rosemarie Tambot PHARMACIST
Phone: (650) 580-2983

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1629297122
LBN Legal business name Antioch Icf Inc
DBA Doing business as Putnam West Icf
Authorized official Veridiano, Rosemarie Tambot PHARMACIST
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629297122 NPPES
California Other 55G323 LONG TERM CARE

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