Active NPI
Darcielle Inc
Doing business as Belle ICF
- Intellectual Disabilities Intermediate Care Facility
- Antioch, CA
National Provider Identifier
1154688562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- DARCIELLE INC
- Doing business as
- Belle ICF
- Practice address
- 4612 Belle Dr
Antioch, CA 94509-4312 - Phone
- (925) 706-8130
- NPI assigned
- Apr 23, 2012
- Last updated
- Apr 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lucille S Pajarito
- Title
- President
- Phone
- (925) 706-8130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Primary |
Addresses
Primary practice location
4612 Belle Dr
Antioch, CA 94509-4312
Mailing address
4612 Belle Dr
Antioch, CA 94509-4312
Phone (925) 706-8130
Other names 1
- Belle ICF
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1154688562. Details of each certification follow.
Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G459
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
- BELLE ICF
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Mar 27, 2003
- Last certification
- Dec 29, 2023
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 4612 Belle Drive
Antioch, CA 94509
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1154688562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 BELLE DR",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094312",
"telephone_number": "925-706-8130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 BELLE DR",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094312",
"telephone_number": "925-706-8130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARCIELLE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "PAJARITO",
"authorized_official_first_name": "LUCILLE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-706-8130",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Belle ICF",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Antioch, CA
- Daniel L Zimmerman MD, Inc.
- Crystal Daniel-Washington, PSYD
- Quinita Daniel
- Freddie L Daniels III
- Stacie Daniels, M.D.
- Sophia Darke
- Raj V. Dasari, MD
- David a Cain DDS, MSD a Professional Corporation
- David P Cartago DDS Dental Practice Inc (Perfect Smiles Family Dentistry)
- David Shen Dental Corp (Orthoworks)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.