Anton'S Home, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

ANTON'S HOME, INC.

Practice address

2598 Olympic Drive,
San Bruno, CA 94066-1251

Phone

(650) 553-5009

Fax

(850) 878-3131

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Estelita Santiago Evangelista

Title

President

Phone

(415) 987-3401

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1164081089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 CALLAN BLVD.",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154404",
            "telephone_number": "415-987-3401",
            "fax_number": "650-878-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 OLYMPIC DRIVE,",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661251",
            "telephone_number": "650-553-5009",
            "fax_number": "850-878-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTON'S HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "ESTELITA",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-987-3401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Andresen
• Alyssa Mariel Menor Angara
• Maria Theresa Angara, DDS
• Yanet Angel
• Aisha Ansari
• Audrey Rose Antonio
• Alicia Antuna
• Apa Homecare and Transport Services Inc
• Alondra Lizbeth Aquino Ortiz
• Itzel Aquino

• All providers in San Bruno, CA
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.