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BELLE ICF NPI 1679770499


NPI Information

NPI: 1679770499
Provider Name: BELLE ICF
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
1747 SANGER PEAK WAY
ANTIOCH, CA
ZIP 94531
Phone: (925) 383-4512
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BELLE ICF is an intermediate care facility mentally retarded in Antioch, CA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. BELLE ICF NPI is 1679770499. The provider is registered as an organization entity type.

The provider's business location address is:

1747 SANGER PEAK WAY
ANTIOCH, CA
ZIP 94531-128
Phone: (925) 383-4512
Fax: (925) 778-6413

The provider's authorized official is Dominador Delacruz Pajarito .
The authorized official title is Licensee and has the following contact phone number (925) 383-4512.

The enumeration date for this NPI number is 6/27/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedCALIFORNIAYes

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: 11/14/2023

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