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ANGEL'S HOME ICF, INC.
NPI 1205224334
Nursing Facility/Intermediate Care Facility in Stockton, CA

Active since December 23, 2014
10712 WATERBURY DR, STOCKTON, CA 95209(510) 289-3848(209) 477-1449 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Angel's Home Icf, Inc. NPPES

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

ANGEL'S HOME ICF, INC. (NPI 1205224334) is a healthcare organization registered as a nursing facility/intermediate care facility in Stockton, California and active in the NPI registry since December 2014. The organization lists Larry R Angel, President / Administrator, as its authorized official.

NPPES Registry Identity

NPI1205224334
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameANGEL'S HOME ICF, INC.
Location Address10712 WATERBURY DRStockton, CA 95209-4212
Mailing Address10712 Waterbury DrStockton, CA 95209-4212 · (510) 289-3848 · Fax (209) 477-1449
Phone(510) 289-3848
Fax(209) 477-1449
Organization SubpartNo
Authorized OfficialLarry R AngelPresident / Administrator · (510) 289-3848
Enumeration DateDecember 23, 2014
✔ NPI 1205224334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
10712 WATERBURY DR, Stockton, CA 95209
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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 Angel's Home Icf, Inc.'s NPI number?

The NPI number for Angel's Home Icf, Inc. is 1205224334. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Angel's Home Icf, Inc. located?

Angel's Home Icf, Inc. is located at 10712 Waterbury Dr, Stockton, CA 95209. The listed phone number is (510) 289-3848.

What is Angel's Home Icf, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Angel's Home Icf, Inc. was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.