Laguna Icf, Inc
Intermediate care facility for individuals with intellectual disabilities in Tracy, CA, Medicare certification number 55G143.
Medicare certification
Provider of Services- CCN
- 55G143
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Private (proprietary)
- Participating since
- Dec 3, 1997
- Last certification
- Nov 15, 2023
- Beds
- 6
- Most recent change of ownership
- Feb 25, 2010
- Address
- 294 Laguna Drive
Tracy, CA 95376
(209) 835-0824
NPI records for this facility 1
-
dba Laguna ICF
- Intellectual Disabilities Intermediate Care Facility
- Tracy, CA
- NPI 1659964195
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.