KLAMATH HOME ICF DD-N
NPI 1205002904
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sacramento, CA

Active since May 02, 2008
5355 KLAMATH DR, SACRAMENTO, CA 95842(916) 332-1439(916) 332-4716 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Klamath Home Icf Dd-n NPPES

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

KLAMATH HOME ICF DD-N (NPI 1205002904) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Sacramento, California and active in the NPI registry since May 2008. The organization lists Antonio Gagante Ranit, President, as its authorized official.

NPPES Registry Identity

NPI1205002904
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameANTELOPE HILLS MANOR ICF DD-N INC.
Location Address5355 KLAMATH DRSacramento, CA 95842-2651
Mailing Address7704 Antelope Hills DrAntelope, CA 95843-2491 · (916) 721-1517 · Fax (916) 721-0762
Fax(916) 332-4716
Organization SubpartYes
Authorized OfficialAntonio Gagante RanitPresident · (916) 721-9439
Enumeration DateMay 2, 2008
NPI 1205002904 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 · 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.
5355 KLAMATH DR, Sacramento, CA 95842

Other Names 1

Doing Business AsKlamath Home Icf Dd-n

Other Identifiers 1

OtherLTC80373FCA · California Medi-cal

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 Antelope Hills Manor Icf Dd-N Inc.'s NPI number?

The NPI number for Antelope Hills Manor Icf Dd-N Inc. is 1205002904. It was assigned to this organization in the NPPES registry on May 2, 2008. The provider is doing business as Klamath Home Icf Dd-N.

Where is Antelope Hills Manor Icf Dd-N Inc. located?

Antelope Hills Manor Icf Dd-N Inc. is located at 5355 Klamath Dr, Sacramento, CA 95842. The listed phone number is (916) 332-1439.

What is Antelope Hills Manor Icf Dd-N Inc.'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 Antelope Hills Manor Icf Dd-N Inc. was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.