Active NPI
Duke Facilities Inc.
- Intellectual Disabilities Intermediate Care Facility
- Stockton, CA
National Provider Identifier
1639526692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- DUKE FACILITIES INC.
- Practice address
- 620 Garner LN
Stockton, CA 95207-4805 - Phone
- (209) 969-1576
- Fax
- (209) 474-9260
- NPI assigned
- May 19, 2016
- 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. Anita Beth Duke, RN
- Title
- Licensee/RN
- Phone
- (209) 969-1576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
620 Garner LN
Stockton, CA 95207-4805
Mailing address
2155 W March LN
Building 3 Suite B
Stockton, CA 95207-6420
Phone (209) 969-1576
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 55G768
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 #5
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Jun 26, 2018
- Last certification
- Aug 20, 2025
- Beds
- 6
- Ownership / control type
- Other (specify)
- Facility address
- 620 East Garner Lane
Stockton, CA 95207
National Provider Directory
National Provider Directory- Tax ID family
- Duke Facilities Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Stockton, CA
- NPI 1659525061
-
- Intellectual Disabilities Intermediate Care Facility
- Stockton, CA
- NPI 1962551713
-
- Intellectual Disabilities Intermediate Care Facility
- Stockton, CA
- NPI 1154470953
-
- Nursing Facility/Intermediate Care Facility
- Stockton, CA
- NPI 1700935509
Locations
2155 W March Ln
Ste 3B
Stockton, CA 95207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1463616000000",
"number": "1639526692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2155 W MARCH LN",
"address_2": "BUILDING 3 SUITE B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076420",
"telephone_number": "209-969-1576",
"fax_number": "209-474-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 GARNER LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952074805",
"telephone_number": "209-969-1576",
"fax_number": "209-474-9260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUKE FACILITIES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-19",
"last_updated": "2016-05-19",
"status": "A",
"authorized_official_last_name": "DUKE",
"authorized_official_first_name": "ANITA",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "LICENSEE/RN",
"authorized_official_telephone_number": "209-969-1576",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.