NPIMap

Organization Active NPI

New Way Services Inc

Doing business as Null Drive ICF DDH

  • Intellectual Disabilities Intermediate Care Facility
  • Antioch, CA
National Provider Identifier
1316092729
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
NEW WAY SERVICES INC
Doing business as
Null Drive ICF DDH
Practice address
4109 Null Drive
Antioch, CA 94509
Phone
(925) 757-0887
Fax
(925) 688-1525
NPI assigned
Jan 24, 2007
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Mrs. Lupe M Henry
Title
Director/Provider
Phone
(925) 370-9603

Specialties & licenses 1

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

Addresses

Primary practice location

4109 Null Drive
Antioch, CA 94509

Mailing address

1170 Burnett Ave Ste K
Concord, CA 94520-5613
Phone (925) 370-9603

Other identifiers 1

IdentifierTypeStateIssuer
55G435OtherMEDI-CAL

Other names 1

  • Null Drive ICF DDH Doing business as

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 1316092729. Details of each certification follow.

  • CCN 55G435 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G435

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
NULL DRIVE ICF/DD-H
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Sep 4, 2002
Last certification
Nov 5, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
4109 Null Drive
Antioch, CA 94509

National Provider Directory

National Provider Directory
Tax ID family
New Way Icf DD H 211 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1316092729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 BURNETT AVE STE K",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205613",
            "telephone_number": "925-370-9603",
            "fax_number": "925-688-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 NULL DRIVE",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-757-0887",
            "fax_number": "925-688-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "LUPE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "925-370-9603",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "55G435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Null Drive ICF DDH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Null Drive ICF DDH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.