NPIMap

Organization Active NPI

Duke Facilities, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1154470953
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
55G393 Issued in CA
Legal business name
DUKE FACILITIES, INC.
Practice address
238 Vincente Way
Stockton, CA 95207-2923
Phone
(209) 951-3496
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Anita Beth Duke, R.N.P.
Title
Licensee President
Phone
(209) 969-1576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 55G393 CA Primary

Addresses

Primary practice location

238 Vincente Way
Stockton, CA 95207-2923

Mailing address

1150 W Robinhood Dr
Ste 2 C
Stockton, CA 95207-5624

Other identifiers 1

IdentifierTypeStateIssuer
LTC60979GMedicaidCA

Other names 1

  • Duke ICF DDH # 2 Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G393

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DUKE FACILITIES, INC #2
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Oct 1, 2001
Last certification
Mar 4, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
238 Vincente Way
Stockton, CA 95207

National Provider Directory

National Provider Directory
Tax ID family
Duke Facilities Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154470953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W ROBINHOOD DR",
            "address_2": "STE 2 C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075624",
            "fax_number": "209-474-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 VINCENTE WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952072923",
            "telephone_number": "209-951-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "LICENSEE PRESIDENT",
        "authorized_official_telephone_number": "209-969-1576",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N.P."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "55G393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60979G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke ICF DDH # 2",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.