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

Antioch Icf Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1629297122

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

1228 Putnam St
Antioch, CA 94509-5412
Phone: (925) 754-6872
Fax: (925) 978-9005
Show map & directions

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 number1629297122
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rosemarie Veridiano — President Administrator · (650) 580-2983
Other names Putnam West 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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