1. Home
  2. Directory
  3. California
  4. Stockton
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

SHIRLEY'S ICF DD N NO 3
NPI 1326225665
Intermediate Care Facility, Intellectual Disabilities in Stockton, CA

Active since January 29, 2008CLIA 05D1100522 · Waiver
2330 SHROPSHIRE DR, STOCKTON, CA 95209(209) 476-8703(209) 476-8706 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shirley's Icf Dd N No 3 NPPES

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

SHIRLEY'S ICF DD N NO 3 (NPI 1326225665) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Stockton, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Shirley Gapasin, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1326225665
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSHIRLEY'S CARE HOME INC
Location Address2330 SHROPSHIRE DRStockton, CA 95209
Mailing Address9565 Colington PlStockton, CA 95209-5013 · (209) 952-6027 · Fax (209) 952-7825
Phone(209) 476-8703
Fax(209) 476-8706
Organization SubpartYes
Authorized OfficialShirley GapasinChief Financial Officer · (209) 607-9380
Enumeration DateJanuary 29, 2008
✔ NPI 1326225665 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.
2330 SHROPSHIRE DR, Stockton, CA 95209
Open in Google Maps ↗

Other Names 1

Doing Business AsShirley's Icf Dd N No 3

Other Identifiers 1

Medicare OSCAR/certification55G247CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1100522

Shirley's Icf/Dd-N No 3 · Stockton, CA
Active · expires Jun 7, 2027
CLIA Number05D1100522
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorRaghunath K. Reddy, MD
Laboratory Phone(209) 476-8703
Laboratory LocationShirley's Icf/Dd-N No 32330 Shropshire Drive, Stockton, CA 95209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Shirley's Care Home Inc's NPI number?

The NPI number for Shirley's Care Home Inc is 1326225665. It was assigned to this organization in the NPPES registry on January 29, 2008. The provider is doing business as Shirley's Icf Dd N No 3.

Where is Shirley's Care Home Inc located?

Shirley's Care Home Inc is located at 2330 Shropshire Dr, Stockton, CA 95209. The listed phone number is (209) 476-8703.

What is Shirley's Care Home Inc's specialty?

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

Does Shirley's Care Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1100522) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shirley's Care Home Inc was last updated on January 29, 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.