Carcido'S Icf 5 (J&M)

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

LTC61031F Issued in CA

Legal business name

CARCIDO'S ICF 5 (J&M)

Practice address

1905 Amberwood CT
Stockton, CA 95207-8812

Phone

(209) 471-0814

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Medina Carcido

Title

Licensee

Phone

(209) 471-0814

Specialties & licenses 1

Addresses

Tax ID family

Carcido'S Icf 15 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.

• Carcido'S Icf 1

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Stockton, CA
  • NPI 1447466321
  NPD tax ID
• Carcido'S Icf 2

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Stockton, CA
  • NPI 1033326798
  NPD tax ID
• Carcido'S Icf 3

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Stockton, CA
  • NPI 1568679223
  NPD tax ID
• Carcido'S Icf 4

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Stockton, CA
  • NPI 1063628972
  NPD tax ID

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992912513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690097",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952690097",
            "telephone_number": "209-471-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 AMBERWOOD CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078812",
            "telephone_number": "209-471-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARCIDO'S ICF 5 (J&M)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARCIDO",
        "authorized_official_first_name": "MEDINA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "209-471-0814",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "LTC61031F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabel Carbajal
• Carcido'S Icf 1
• Carcido'S Icf 2
• Carcido'S Icf 3
• Carcido'S Icf 4
• Yoally Cardenas Munoz
• Armando Cardenas Jr.
• Frances Guadalupe Cardenas
• Guadalupe Cardenas
• Jacqueline Cardenas

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Stockton, CA
• Providers in Stockton, CA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.