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American Star Home 2 Icf/dd-n
Nursing Facility/Intermediate Care Facility in Antioch, California
NPI 1629102710

American Star Home 2 Icf/dd-n is a Nursing Facility/Intermediate Care Facility based in Brentwood, CA. American Star Home 2 Icf/dd-n practices in Antioch, CA. The NPI Number for American Star Home 2 Icf/dd-n is 1629102710 and holds a License No. 140000706 (California).

The current practice location address for American Star Home 2 Icf/dd-n is 5102 Sims Mountain Court, Antioch, CA and can be reached out via phone at 925-757-4121 and via fax at 925-757-4242. You can also correspond with American Star Home 2 Icf/dd-n through the mailing address at 2009 FITZGERALD WAY, BRENTWOOD, CA - 94513 (mailing address contact number: 923-813-1979).

Location: 5102 Sims Mountain Court, Antioch, CA, 94513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629102710
Provider Name
American Star Home 2 Icf/dd-n
Credential
Provider Entity Type
Organization
Address
5102 Sims Mountain Court, Antioch, CA, 94513
Phone Number
925-757-4121
Fax Number
925-757-4242
Provider Enumeration Date
03/14/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC80357F 01 CA ICFDD-N
institution
Provider Business Practice Location Address Details
Address
5102 Sims Mountain Court
City
Antioch
State
California
Zip
94531
Phone Number
925-757-4121
Fax Number
925-757-4242
person
Provider Business Mailing Address Details
Address
2009 Fitzgerald Way
City
Brentwood
State
California
Zip
94513
Phone Number
923-813-1979
Fax Number
925-757-4242
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
140000706 (California)
Definition
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 condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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