OrganizationActive
Antioch Icf Inc
NPI 1629297122 · Intellectual Disabilities Intermediate Care Facility · Antioch, CA
Provider details
- NPI number
- 1629297122
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rosemarie Veridiano, President Administrator(650) 580-2983
Specialties & taxonomies
Nursing & Custodial Care 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
1228 Putnam St
Antioch, CA 94509-5412
Phone: (925) 754-6872
Fax: (925) 978-9005
Street-level locationGet directions
Mailing address
2893 El Camino Real
Redwood City, CA 94061-4001
Other names (DBA / former)
- Doing business as
- Putnam West Icf
Registry dates
- Enumerated
- 2007-04-24
- 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.