Petaluma Icf/DDH
Intermediate care facility for individuals with intellectual disabilities in Sonoma, CA, Medicare certification number 55G416.
Medicare certification
Provider of Services- CCN
- 55G416
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- Other (specify)
- Participating since
- Feb 19, 2002
- Last certification
- Mar 1, 2024
- Beds
- 8
- Address
- 805 Petaluma Avenue
Sonoma, CA 95476
(707) 938-9195
NPI records for this facility (CCN to NPI Mapping) 1
-
- Intellectual Disabilities Intermediate Care Facility
- Sonoma, CA
- NPI 1265596373
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.