Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Antioch Icf, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1073732673

Antioch Icf, Inc is an Intellectual Disabilities Intermediate Care Facility in Antioch, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1204 Putnam St
Antioch, CA 94509-5412
Phone: (925) 755-0910
Fax: (925) 978-9005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X (CA)

Record details

NPI number1073732673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosemarie Veridiano — President Administrator · (650) 580-2983
Other names Putnam Icf
NPI enumeratedApril 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2893 El Camino Real, Suite C, Redwood City, CA 94061-4001

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