Duke Facilities, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

PENDING

Legal business name

DUKE FACILITIES, INC

Practice address

6142 Greenfield LN
Stockton, CA 95207-3110

Phone

(209) 952-8679

NPI assigned

Nov 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Anita Beth Duke, RNP

Title

President/Licensee

Phone

(209) 969-1576

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G633

Legal name

DUKE FACILITIES, INC #4

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 10, 2009

Last certification

May 7, 2024

Beds

6

Ownership / control type

Other (specify)

Facility address

6142 Greenfield Lane
Stockton, CA 95207

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Duke Facilities Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
  • NPI 1639526692
  NPD tax ID
• Duke Facilities, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
  • NPI 1962551713
  NPD tax ID
• Duke Facilities, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Stockton, CA
  • NPI 1154470953
  NPD tax ID
• Duke Facilities, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Stockton, CA
  • NPI 1700935509
  NPD tax ID

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1659525061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W ROBINHOOD DR STE 2C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075630",
            "fax_number": "209-474-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6142 GREENFIELD LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952073110",
            "telephone_number": "209-952-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE FACILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT/LICENSEE",
        "authorized_official_telephone_number": "209-969-1576",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNP"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poonam Duggal, MD
• Ronald Floyd Dugger, MD
• Sree Bhargavi Duggirala, DDS
• A'Mia Charda Duirden
• Duke Facilities Inc.
• Duke Facilities, Inc
• Duke Facilities, Inc.
• Duke Facilities, Inc.
• Robert E Dukes II
• Mileena Santiago Dumaoal

• Intellectual Disabilities Intermediate Care Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.