NPIMap

Organization Active NPI

Duke Facilities, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Stockton, CA
National Provider Identifier
1700935509
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
55G165 Issued in CA
Legal business name
DUKE FACILITIES, INC.
Practice address
2661 Otto Dr
Stockton, CA 95209-1111
Phone
(209) 951-9776
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Mrs. Anita Beth Duke, R.N.P.
Title
Licensee President
Phone
(209) 969-1576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 55G165 CA Primary

Addresses

Primary practice location

2661 Otto Dr
Stockton, CA 95209-1111

Mailing address

1150 W Robinhood Dr Ste 2C
Stockton, CA 95207-5630

Other identifiers 1

IdentifierTypeStateIssuer
LTC60845GMedicaidCA

Other names 1

  • Duke ICF-DDH Former legal business name

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 55G165

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 #1
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 14, 1998
Last certification
Jun 25, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
2661 Otto Drive
Stockton, CA 95209

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2153333Duke Facilities, Inc # 12661 Otto Drive, Stockton, CA 95209Certificate of waiverAug 23, 2026

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1700935509",
    "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": "2661 OTTO DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952091111",
            "telephone_number": "209-951-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "LICENSEE PRESIDENT",
        "authorized_official_telephone_number": "209-969-1576",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N.P."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": "55G165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60845G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke ICF-DDH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.