DUKE FACILITIES, INC. (NPI# 1154470953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154470953 |
| Entity Type | Organization |
| Organization Name | DUKE FACILITIES, INC. |
| Other Organization Name | DUKE ICF DDH # 2 |
| Practice Address |
238 Vincente Way Stockton CA 95207-2923 |
| Mailing Address |
1150 W Robinhood Dr Ste 2 C Stockton CA 95207-5624 |
| Practice Telephone | 2099513496 |
| Mailing Fax Number | 2094749260 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANITA BETH DUKE (LICENSEE PRESIDENT) |
| Authorized Official Telephone | 2099691576 |
| Authorized Official Credential | R.N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 55G393 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC60979G | 05 |
| Other Name | Type Code |
|---|---|
| Duke ICF DDH # 2 | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700935509 | Duke Facilities, Inc. | Nursing Facility/Intermediate Care Facility | 2661 Otto Dr, Stockton, CA 95209-1111 | 2007-01-09 |
| Street Address |
238 VINCENTE WAY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639526692 | Duke Facilities Inc. | Intermediate Care Facility, Mentally Retarded | 620 Garner Ln, Stockton, CA 95207-4805 | 2016-05-19 |
| 1063886638 | Sonia's Care Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 8516 Edgefield Way, Stockton, CA 95209-2238 | 2015-11-19 |
| 1952728412 | Gapuz Incorporated | Intermediate Care Facility, Mentally Retarded | 640 Whipporwill St, Stockton, CA 95210-4445 | 2014-03-23 |
| 1659525061 | Duke Facilities, Inc | Intermediate Care Facility, Mentally Retarded | 6142 Greenfield Ln, Stockton, CA 95207-3110 | 2008-11-12 |
| 1770760019 | Shirley's Care Home Inc #2 | Intermediate Care Facility, Mentally Retarded | 8351 Hamilton Way, Stockton, CA 95209-2212 | 2008-01-29 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1194939025 | Gapasin Manor Icfddn #2 | Intermediate Care Facility, Mentally Retarded | 2325 Stanfield Dr, Stockton, CA 95209-4017 | 2007-05-10 |
| 1912111840 | Gapasin Manor Icfddn #3 | Intermediate Care Facility, Mentally Retarded | 3813 Steedman Way, Stockton, CA 95209-5020 | 2007-05-10 |
| 1568676492 | Gapasin Manor Icfddn #1 | Intermediate Care Facility, Mentally Retarded | 2451 Shropshire Dr, Stockton, CA 95209-1701 | 2007-05-10 |
| 1386869584 | Casa Del Rios | Intermediate Care Facility, Mentally Retarded | 7830 Omega Way, Stockton, CA 95212-2902 | 2007-04-15 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.