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PETALUMA ICF DDH INC
NPI 1265596373
Intermediate Care Facility, Intellectual Disabilities in Sonoma, CA

Active since December 21, 2006
805 PETALUMA AVE, SONOMA, CA 95476(707) 938-9195(707) 939-3519 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petaluma Icf Ddh Inc NPPES

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

PETALUMA ICF DDH INC (NPI 1265596373) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Sonoma, California and active in the NPI registry since December 2006. The organization lists Richard Albert Hire, Licensee, as its authorized official.

NPPES Registry Identity

NPI1265596373
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePETALUMA ICF DDH INC
Location Address805 PETALUMA AVESonoma, CA 95476
Mailing Address226 Merced DriveSan Bruno, CA 94066 · (650) 872-3438 · Fax (650) 872-6738
Phone(707) 938-9195
Fax(707) 939-3519
Organization SubpartNo
Authorized OfficialRichard Albert HireLicensee · (707) 894-3686
Enumeration DateDecember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265596373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
805 PETALUMA AVE, Sonoma, CA 95476
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Other Identifiers 1

Other55G416CA · 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 Petaluma Icf Ddh Inc's NPI number?

The NPI number for Petaluma Icf Ddh Inc is 1265596373. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Petaluma Icf Ddh Inc located?

Petaluma Icf Ddh Inc is located at 805 Petaluma Ave, Sonoma, CA 95476. The listed phone number is (707) 938-9195.

What is Petaluma Icf Ddh Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Petaluma Icf Ddh Inc 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.