Locust Home
Intermediate care facility for individuals with intellectual disabilities in Manteca, CA, Medicare certification number 05G176.
Medicare certification
Provider of Services- CCN
- 05G176
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Jul 26, 1985
- Last certification
- Feb 19, 2025
- Beds
- 15
- Address
- 1151 Locust Avenue
Manteca, CA 95337
(209) 823-6061
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Locust Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Manteca, CA
- NPI 1710171749
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.