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SPECIALIZED DAYCARE SERVICES INC NPI 1245524792


NPI Information

NPI: 1245524792
Provider Name: SPECIALIZED DAYCARE SERVICES, INC

Doing Business As: MY FRIENDS PEDIATRIC DAY HEALTHCARE CENTER

Classification: Respite Care - 385HR2065X
Entity Type: Organization

Specialization: Respite Care, Physical Disabilities, Child

Address:
2427 N CALIFORNIA ST
STOCKTON, CA
ZIP 95204
Phone: (916) 987-8632
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SPECIALIZED DAYCARE SERVICES, INC is a respite care and physical disabilities and child respite care in Stockton, CA. The provider is a facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. SPECIALIZED DAYCARE SERVICES, INC NPI is 1245524792. The provider is registered as an organization entity type.
The provider Is Doing Business As My Friends Pediatric Day Healthcare Center.

The provider's business location address is:

2427 N CALIFORNIA ST
STOCKTON, CA
ZIP 95204-507
Phone: (916) 987-8632
Fax: (916) 989-8635

The provider's authorized official is Nancy Anne Giachino .
The authorized official title is President and has the following contact phone number (916) 987-8632.

The enumeration date for this NPI number is 6/1/2011 and was last updated on 1/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)No
2385HR2065XRespite CareRespite Care, Physical Disabilities, Child550001883CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11245524792MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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