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KLAMATH HOME ICF DDN
NPI 1770622292
Intermediate Care Facility, Intellectual Disabilities in Antelope, CA

Active since February 05, 2007
7704 ANTELOPE HILLS DR, ANTELOPE, CA 95843(916) 721-1517(916) 721-0762 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Klamath Home Icf Ddn NPPES

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

KLAMATH HOME ICF DDN (NPI 1770622292) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Antelope, California and active in the NPI registry since February 2007. The organization lists Antonio Gagante Ranit, Rn Administrator Qmrp, as its authorized official.

NPPES Registry Identity

NPI1770622292
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameANTELOPE HILLS MANOR ICF DDN INC
Location Address7704 ANTELOPE HILLS DRAntelope, CA 95843-2491
Mailing Address7704 Antelope Hills DrAntelope, CA 95843-2491 · (916) 721-1517 · Fax (916) 721-0762
Phone(916) 721-1517
Fax(916) 721-0762
Organization SubpartNo
Authorized OfficialAntonio Gagante RanitRn Administrator Qmrp · (916) 721-9439
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770622292 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.
7704 ANTELOPE HILLS DR, Antelope, CA 95843
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Other Names 1

Doing Business AsKlamath Home Icf Ddn

Other Identifiers 2

MedicaidLTC80334FCA
MedicaidLTC80373FCA

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 Ddn Inc's NPI number?

The NPI number for Antelope Hills Manor Icf Ddn Inc is 1770622292. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as Klamath Home Icf Ddn.

Where is Antelope Hills Manor Icf Ddn Inc located?

Antelope Hills Manor Icf Ddn Inc is located at 7704 Antelope Hills Dr, Antelope, CA 95843. The listed phone number is (916) 721-1517.

What is Antelope Hills Manor Icf Ddn 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 Antelope Hills Manor Icf Ddn 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.