BELLE ICF (NPI# 1679770499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679770499 |
| Entity Type | Organization |
| Organization Name | BELLE ICF |
| Practice Address |
1747 Sanger Peak Way Antioch CA 94531-9128 |
| Practice Telephone | 9253834512 |
| Practice Fax Number | 9257786413 |
| Mailing Telephone | 9253834512 |
| Mailing Fax Number | 9257786413 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOMINADOR DELACRUZ PAJARITO (LICENSEE) |
| Authorized Official Telephone | 9253834512 |
| Authorized Official Credential | B.A., M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | CA | Nursing & Custodial Care Facilities |
| Street Address |
1747 SANGER PEAK WAY |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531-9128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| 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 |
|---|---|---|---|---|
| 1336592567 | Judith Abesamis | Intermediate Care Facility, Mentally Retarded | 2215 Field St, Antioch, CA 94509-3919 | 2016-07-23 |
| 1154688562 | Darcielle Inc | Intermediate Care Facility, Mentally Retarded | 4612 Belle Dr, Antioch, CA 94509-4312 | 2012-04-23 |
| 1104098953 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 2639 Sheppard Way, Antioch, CA 94509-4354 | 2008-04-01 |
| 1073732673 | Antioch Icf, Inc | Intermediate Care Facility, Mentally Retarded | 1204 Putnam St, Antioch, CA 94509-5412 | 2007-04-24 |
| 1629297122 | Antioch Icf Inc | Intermediate Care Facility, Mentally Retarded | 1228 Putnam St, Antioch, CA 94509-5412 | 2007-04-24 |
| 1538388038 | Antioch Icf Inc | Intermediate Care Facility, Mentally Retarded | 3359 S Francisco Way, Antioch, CA 94509-5434 | 2007-04-24 |
| 1083832752 | Antioch Icf Inc | Intermediate Care Facility, Mentally Retarded | 3117 San Juan Ct, Antioch, CA 94509-5313 | 2007-04-20 |
| 1346382272 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 6850 Burkitt Rd, Antioch, TN 37013-4701 | 2007-02-14 |
| 1053453985 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 6854 Burkitt Rd, Antioch, TN 37013-4701 | 2007-02-14 |
| 1699818526 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 5825 Cane Ridge Rd, Antioch, TN 37013-3908 | 2007-02-14 |
| Find all providers in ANTIOCH | ||||
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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.