Organization Active NPI

Duke Facilities Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1639526692
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
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

Updated by the provider on May 19, 2016

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)CodeLicenseStatePrimary
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 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.

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

Verify at the official NPI Registry.