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CARCIDO'S ICF 4
NPI 1063628972
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Stockton, CA

Active since May 15, 2007
8344 CHEVALIER WAY, STOCKTON, CA 95210(209) 476-1749 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carcido's Icf 4 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARCIDO'S ICF 4 (NPI 1063628972) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Stockton, California and active in the NPI registry since May 2007. The organization lists Medina Carcido, Licensee, as its authorized official.

NPPES Registry Identity

NPI1063628972
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCARCIDO'S ICF 4
Location Address8344 CHEVALIER WAYStockton, CA 95210-2277
Mailing AddressPo Box 690097Stockton, CA 95269-0097
Phone(209) 476-1749
Organization SubpartNo
Authorized OfficialMedina CarcidoLicensee · (209) 471-0814
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063628972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in CA · LTC60901F
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.
8344 CHEVALIER WAY, Stockton, CA 95210
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carcido's Icf 4's NPI number?

The NPI number for Carcido's Icf 4 is 1063628972. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Carcido's Icf 4 located?

Carcido's Icf 4 is located at 8344 Chevalier Way, Stockton, CA 95210. The listed phone number is (209) 476-1749.

What is Carcido's Icf 4's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Carcido's Icf 4 was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.