OrganizationActive
Carcido'S Icf 1
NPI 1447466321 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Stockton, CA
Provider details
- NPI number
- 1447466321
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Medina Carcido, Licensee(209) 471-0814
- License
- LTC60555F (CA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense LTC60555F (CA)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8514 Colonial Dr
Stockton, CA 95209-2321
Phone: (209) 473-8011
Street-level locationGet directions
Mailing address
Po Box 690097
Stockton, CA 95269-0097
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.