SANTA LUCIA ICF-DDH
NPI 1871774125
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vallejo, CA

Active since November 15, 2007
11 MARSHALL WAY, VALLEJO, CA 94589(707) 731-2747(707) 731-2748 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Santa Lucia Icf-ddh NPPES

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

SANTA LUCIA ICF-DDH (NPI 1871774125) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Vallejo, California and active in the NPI registry since November 2007. The organization lists Leonila Realeza Padilla, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871774125
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSANTA LUCIA ICF-DDH
Location Address11 MARSHALL WAYVallejo, CA 94589-1946
Mailing Address11 Marshall WayVallejo, CA 94589-1946 · (707) 731-2747 · Fax (707) 731-2748
Fax(707) 731-2748
Organization SubpartNo
Authorized OfficialLeonila Realeza PadillaAdministrator · (707) 655-3225
Enumeration DateNovember 15, 2007
NPI 1871774125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
11 MARSHALL WAY, Vallejo, CA 94589

Other Identifiers 1

OtherLTC61065FCA · Medical Provider Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
11 MARSHALL WAY
VALLEJO, CA 94589

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 Santa Lucia Icf-Ddh's NPI number?

The NPI number for Santa Lucia Icf-Ddh is 1871774125. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Santa Lucia Icf-Ddh located?

Santa Lucia Icf-Ddh is located at 11 Marshall Way, Vallejo, CA 94589. The listed phone number is (707) 731-2747.

What is Santa Lucia Icf-Ddh's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Santa Lucia Icf-Ddh was last updated on November 15, 2007. 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.