PUTNAM WEST ICF
NPI 1629297122
Intermediate Care Facility, Intellectual Disabilities in Antioch, CA

Q: What is Antioch Icf Inc's NPI number?

The NPI number for Antioch Icf Inc is 1629297122. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Putnam West Icf.

Q: What is Antioch Icf Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Antioch Icf 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 6 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.

Active since April 24, 2007

1228 PUTNAM ST, ANTIOCH, CA 94509(925) 754-6872(925) 978-9005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Putnam West Icf NPPES

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

PUTNAM WEST ICF (NPI 1629297122) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Antioch, California and active in the NPI registry since April 2007. The organization lists Rosemarie Tambot Veridiano, President Administrator, as its authorized official.

NPPES Registry Identity

NPI1629297122

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameANTIOCH ICF INC

Location Address1228 PUTNAM STAntioch, CA 94509-5412

Mailing Address2893 El Camino Real, Suite CRedwood City, CA 94061-4001 · (650) 216-9960 · Fax (650) 216-9455

Phone(925) 754-6872

Fax(925) 978-9005

Organization SubpartNo

Authorized OfficialRosemarie Tambot VeridianoPresident Administrator · (650) 580-2983

Enumeration DateApril 24, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1629297122 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.

1228 PUTNAM ST, Antioch, CA 94509

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Other Names 1

Doing Business AsPutnam West Icf

Other Identifiers 1

Other55G323CA · Long Term Care

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 Antioch Icf Inc's NPI number?

The NPI number for Antioch Icf Inc is 1629297122. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Putnam West Icf.

Where is Antioch Icf Inc located?

Antioch Icf Inc is located at 1228 Putnam St, Antioch, CA 94509. The listed phone number is (925) 754-6872.

What is Antioch Icf 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 Antioch Icf 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 6 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.