OrganizationActive
Antelope Hills Manor Icf Ddn Inc
NPI 1770622292 · Intellectual Disabilities Intermediate Care Facility · Antelope, CA
Provider details
- NPI number
- 1770622292
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Antonio Ranit, RN Administrator Qmrp(916) 721-9439
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
7704 Antelope Hills Dr
Antelope, CA 95843-2491
Phone: (916) 721-1517
Fax: (916) 721-0762
Approximate (ZIP-level) locationGet directions
Mailing address
7704 Antelope Hills Dr
Antelope, CA 95843-2491
Other names (DBA / former)
- Doing business as
- Klamath Home Icf Ddn
Registry dates
- Enumerated
- 2007-02-05
- 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.