Organization · Type 2 NPI

American Star Home 2 Icf/dd-N

Nursing Facility/Intermediate Care Facility · Antioch, CA

NPI number 1629102710 Active

Practice location

5102 Sims Mountain Court
Antioch, CA 94531

Fax (925) 757-4242

Mailing address

2009 Fitzgerald Way
Brentwood, CA 94513

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X140000706 (CA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1629102710

American Star Home 2 Icf/dd-N's National Provider Identifier is 1629102710, issued on Mar 14, 2007. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Antioch, CA. The record was last updated on Feb 24, 2024.